Suicide and euthanasia Term Paper Example | Topics and Well Written Essays - 2000 words - 1

Suicide and euthanasia - Term Paper Example This paper is going to focus on the cosmology or fundamental beliefs of each philosophy and the ethics developed, based on the cosmology and why and how the ethical basis are outlined to help a person to achieve his/her own personal perfection in the end. The paper will also deal with the first four philosophies because they form a fundamental part of the Asian religions; the Hindu, Buddhism, Shinto and Confucians. The Upanishads was written in India in 8th to 6th century BCE (Kupperman 58). It contained answers to radical questions. They try to answer questions surrounding personal identity. Questions like who are we, what are we expected to do. They are regarded as highly serious philosophy. They developed a sophisticated world picture, which generates an ethic, the way the world would tell one the best way to live. The Upanishads may be considered as religion and philosophy as well due to the fact that they offer the raw text of Hinduism especially on matters dealing with life and death (Kupperman 61). Indeed, they are seen as the foundation of some core traditional and value of India philosophies. Religiously, they tend to offer an escape to tedious round of reincarnation. They promise in Moksha (a Spiritual state where one enters a point of liberation). One has an endless spiritual fulfillment after demise. To qualify for this â€Å"Moksha† state one must follow after joy rather than pleasure. This is the place it start being a philosophy, a part from religion (Kupperman 64). The Upanishads teaches that, for one to determine the state of eternal life (either to live in the state of reincarnation or enter the state of liberation), one must observe the difference of life of joy or pleasure though certainly there are familiar words yet not easy to differentiate between the two. If any person would differentiate between the two words, that person will achieve personal identity and live a happy life pursuing joy rather than vaporous pleasures. The

Investigating the Strength of a Supermarkets Plastic Bag Essay Example for Free

Investigating the Strength of a Supermarkets Plastic Bag Essay Aim I have been asked to investigate the strength of a supermarkets plastic bag. I am going to test and analyse the plastic bag by investigating how applying a gradual increasing force effects the extension of the material. Apparatus * 30cm by 1cm strip of plastic bag, * Stand, * Clamp, * Boss, * Weights (N)- 100g * 2 wood blocks, * Ruler Method Before we can begin the experiment my group and I will have to set up the apparatus as shown on the diagram but with excluding the weights. We will set up the apparatus by cutting a 1 by 30cm strip of plastic from a plastic bag. We will proceed by placing the strip in between the two wooden blocks and then into the clamp. We will then begin the experiment by applying the first weight of 1 Newton. After applying the first weight we will then measure the length of the plastic strip record the length and calculate the extension. We will continue the experiment by adding another 1 Newton and recording the result and extension again. We will continue to keep adding 1 Newton and recording the results until the strip of plastic snaps or we have recorded a total of 10 results. We will redo the experiment twice again so that the results are more accurate and we can determine an average. To make sure that we keep it a fair test we will make sure that we use the same length of plastic strip each time we carry out the experiment. When we increase the force we will always increase by 1 Newton to keep it a fair test. We will be measuring the length and extension of the plastic strip in centimetres (cm). We are doing to this to measure it. Preliminary Work Before completing the plan we tested the experiment as explained in the method. We found that as we increased the force in 1 Newton that the plastic strip actually snapped under an average of 3 Newtons which didnt give us enough results for the experiment. We tested this 3 times and found that this was happening for each time we carried out the experiment. To compensate for this we have decided to increase the force by only half a Newton so that more results can be recorded. Whilst carrying out the experiment we did record a set of results as follows- Experiment 1 Force(N) Length(cm) Extension(cm) 0 28 0 1 28.4 0.4 2 28.8 0.8 3 29.3 1.3 Experiment 2 Force(N) Length(cm) Extension(cm) 0 28 0 1 28.2 0.2 2 28.6 0.6 3 29 1 Experiment 3 Force(N) Length(cm) Extension(cm) 0 28 0 1 28.5 0.5 2 28.7 0.7 3 28.9 0.9 4 29.2 1.2 From these preliminary results I can see that the plastic extends to no more than 1.3cm of its original length before snapping. These results will help me with my prediction. Prediction I already know that the plastic bag is made up of polymers. These are chemical bonds which make up the properties that form the plastic bag. The polymers in which plastic bags are made are more commonly known as polyethylene. Polyethylene is a straight chain polymer. It consists of chains made up of only carbon and hydrogen. The bond that form the chain are covalent bonds and are held together by relatively weak electrostatic forces, because the bond carbon and hydrogen that form the polyethylene are covalent it means that they share electrons. The displayed formula for polyethylene is The chains can go on and on, The longer the chains the stronger the plastic. Polyethylene is very cheap to produce. It is strong and easily moulded. There are forces acting between the particles or molecules of the polyethylene which prevent the change in shape of the material, which when forces are applied can effect. Under the action of external forces the polymer bonds stretch and begin to straighten. At this point the plastic is actin as an elastic. As more force is applied will continue straightening until they reach a point of equal force, at this point the plastic is in a state of strain and can no longer straighten out. This is where the plastic begins to act as a plastic. If more force is applied the bonds will snap and the plastic strip will also snap. After taking into account of the information I already know and the results from my preliminary work, I predict that as the force is applied to the plastic strip it will stretch as an elastic until the force becomes so great it reaches a point at which it can no longer stretch as the bonds have been straightened and weakened, at this point I believe that the plastic strip will snap. Results Whilst carrying out my experiment I recorded the following results, Experiment 1 Force(N) Length(cm) Extension(cm) 0 28 0 1/2 28 0 1 28.2 0.2 1-1/2 28.2 0.2 2 28.4 0.4 2-1/2 28.4 0.4 3 28.6 0.6 3-1/2 28.7 0.7 4 29.0 1 Experiment 2 Weight(N) Length(cm) Extension(cm) 0 28 0 1/2 28 0 1 28.2 0.2 1-1/2 28.3 0.3 2 28.3 0.3 2-1/2 28.5 0.5 3 28.6 0.7 3-1/2 28.8 0.9 4 29.0 1.1 Experiment 3 Weight(N) Length(cm) Extension(cm) 0 28 0 1/2 28.1 0.1 1 28.1 0.1 1-1/2 28.2 0.2 2 28.3 0.3 2-1/2 28.5 0.5 3 28.7 0.7 3-1/2 28.9 0.9 4 29.1 1.1 I am now going to calculate the average for the extensions of each experiment, Average results Weight(N) Average extension(cm) 0 0 1/2 0.03 1 0.1 1-1/2 0.2 2 0.3 2-1/2 0.4 3 0.6 3-1/2 0.8 4 1.0 I am now going to plot a line graph for each set of results and my average results so that they can be easily viewed and analysed. I will use the line graphs to look for patterns and trends. I can also use the line graphs to determine whether I experienced any anomalous or irregular results.

Examples of Displacement in Literature

Examples of Displacement in Literature Place and displacement are always featured in post-colonial writings, whether its Derek Walcotts poem A far cry from Africa or powerful novels for example Heart of Darkness. This feature opens up a broader concept where post-colonial crisis of individuality comes into reality. When a novel carries elements of place and displacement, the theme of alienation is always reflected, this originates from a sense of displacement. The sense of displacement may have derived from migration, enslavement or even alterity which may be put forward by similarities or differences between different cultures. This concept was heavily reflected in Heart of Darkness by Joseph Conrad and Season of Migration to the North by Tayeb Salih. Both writers seem to be telling a tale about colonisation with their own interpretation of different experiences. Salihs novel revolves around the story of brilliant Mustafa Saeed, the novel indicates journey to the heart of light. Whereas, Conrads novel is a complete rever sal to Kurtzs journey to Congo and connotes a journey to heart of darkness. Both novels focus on geographical locations which have in some way shaped the individuals in the novel and perceived their emotions such of loathing and despair. It seems that both writers are searching for a true identity and avoiding the conflicts of other cultures. Their search is in the end a pointless and time wasting experience; nevertheless their experience of colonialism was all about corruption and greed. The concept of displacement is discovered by us (the readers) when Conrad instigated racism towards the Africans which was quite transparent. In contrast, Salih bravely expressed himself being misogynist, which is rather controversial in todays society-since men and women come across as being equal. The representation of the two continents in these novels is displayed in diverse ways to each other. In Conrads novel, the narrator expresses his opinion of River Thames being mournful gloom, brooding motionless. His description of England but darkness was here yesterday clearly reflects Conrads view as to how Romans once colonised England. The description gives an impression of England being wild: Here and there a military camp lost in a wilderness like a needle in a bundle of hay-cold, fog, tempests, disease, exile and death- death skulking in the air, in the water, in the bush. The metaphor is cleverly used here for camps being lost and its impossible to find them because of fog and exile. Here we discover Conrads first description of displacement from the evidence (as stated above). When Romans first arrived, England was seen as a displacement for people living there. In contrast Tayeb Salihs narrator describes Europe (where he studies) thus: I had lost for a time in a land whose fishes die of the cold. This clearly evokes a feeling of displacement he felt when he was in Europe-the feeling and emotions he got when he came back are complete reversal and it was an extraordinary moment of feeling for Europe. Later in the novel we come across the narrators feeling of alienation which evoked from displacement the trial into a conflict between two worlds, a struggle of which I was one of the victims. Here the narrator seems to be tied up between two worlds and trying to suggest that where he studied (Europe) is a different world to where he was born; his village. However, when he returns to his village, he seems to remember Europe, one possible reason could be he becomes attached to that world. This is quite evident in the novel I am from here- is not this reality enough?. I used to treasure within me the image of this little village, seeing it wherever I went with the eye of my imagination. Earlier in the novel his description of the village has drastically changed, because of the experiences that he came across in the village Over there is like here, neither better nor worse the narrator seems to come to a conclusion that world is the same theres no difference Europe is the same as his village. The concept of European being the dominant and powerful one is established in Edward Saids Orientalism (Is knowledge based idea in particular knowledgeknowlege and ideasisead of Asian cultures andnad languages.) In his book Said presents an argument argue of East being generated by western/European scholars who represent those cultures from a colonial point of view. Salih gives an impression of Africa is what Europeans make it. Which I think is a valid impression and its clearly evident in Conrads novel: They [the slaves] were dying slowly it was very clear. They were not enemies, they were not criminals, they were nothing earthly now inefficient, and were then allowed to crawl away and rest. These moribund shapes - Marlows description of African men and they are not treated humanely, thus Marlow describes them as less human. In one of his chapter he brilliantly says Orientalism was ultimately a political vision of reality whose structure promoted the difference between the familiar (Europe, West, us) and the strange (the Orient, the East, them). This is true to an extent if we base it upon both novels. When featuring the element of place and displacement in a colonial novel, it is always essential that the values of the place are considered; what effect do those values have on the character. In Heart of Darkness, Conrad mainly presents the values of Africa through the character and what view does the narrator have. In chapter one Conrad presents the narrators view of Africa They were dying slowly-it was very clearnothing but black shadows of disease and starvation (pg20). The whole passage gives an impression of African men as than human, as they the are mistreated and overworked slaves. Similar approachapproch is also seen further in the novel He was usefulthe evil spirit inside the boiler will get angrySo he sweated and fired up and watched the glass fearfully (pg 45). In this passage Conrads narrator, Marlow still doesnt consider them equally and compares them with animals a dog in a parody. The reason being for this is the man had no knowledgeknowlege of machinerymachinary bec ause for them its something new, thus they are dependent on thethr white men to train them. The white man took takes advantage of their lack of capacitycapcity and scares him by referringreferrring to the evil spirit. Not only the narrator in The Heart of Darkness doesnt respect the values of Africa nor the natives living there, the character of Kurtz, who is portrayed as a powerful, corrupt man, takes full advantage of these less capable men and treats them as slaves. Kurtz doesnt respect the Africans and treats them like childrenchidren who needs correction or help with anything He began with the argument that we whites, from the point of development we had arrived atBy simple exercise of our will we can exert a power for good (pg 61). Kurtz got the idea that before he went to Africa, the natives were living as uncivilised people which was then corruptedcorrpted by Kurtzs mission. On another surface level Kurtz, this wrotewuote also gives an impression of him believes that white men can revolutionisedrevolutioned Africa and bring goodness to the country as well as making African men more capable. Thus the Africans will see the white men as Gods showing them the path, which they will follow. Conrad seems to dismissdimiss the values of Africa and thus portrays the role of white men ruling over Africans at the time of when the novel was written. Africans were treated as slaves by the Europeans and white race at the time of slavery and the periodperoid of slavery was started long ago, during the 15th century. Throughout the novel Conrad refers to the natives as Savages, which shows his brutality towards them. This approachapproch was very evident in the novel when he refers to the Africans as Well if a lot of mysterious niggers armed with all kinds of fearful weapons (pg 23), another example unless the body of a middle-aged negro, with a bullet-hole. (pg 24) Both these quotes are very harsh and suggest that Conrad is being very racist towards the Africans. At the time, native Africansafricans were used to hearing such insulting names and because they werent treated equally as white men, this made them more weaker and less capable to stand for their self. Furthermorethemsel ves. Furtehrmore, the audience wouldnt find this racist besides England would expect something far more racism than this, as they ruled over them for hundredshunderds of years. This issue was consideredcondidered by many African Professors and one of the most effective approachesapproch to Conrads racism was seen by Chinua Achebe, Nigerian novelist and professor of African Literature. Achebe called Joseph Conrad a bloody racist (Knowles Moore 299), which he moderated in later printed versions to a thoroughgoing racist (Image 257). His view is contradictory, as some would agree with him. Simply because Conrad was very direct when he was referring to the Africans with the racist word, from the point of view of Africans he would definitelydefinately be classed as a racist. Achebe also said in his lecture that Marlow represents Africans as a part of the wilder- ness. He reduces them to fragmented body parts, limbs or rolling eyes (254). On the other hand, Marlow finds that an African who does something more than materializematerialise out of the evil jungle to scare him resembles a dog in a parody of breeches (Heart 38; Image 254). To an extent his argumentsar ugemts are clearly valid ones, the image of Africans portrayedportaryed by Conrad is very brutal and showssowss the narrators hostilityhostality towards Africans. On the other hand, from the point of view of Europeans Conrad would bebeen seen as racist. They would argue argure that Conrad only portrayed the events that occurredoccured during the time and at that time people wouldnt consider this as racism. However, from a point of view of 21st century generation, this would be considered as racism, such deference is more serious and sensitive;, people would be more careful and consider the affect of the word before saying it. In Salihs novel, Season of Migration to the North deals withiwth the values and culture of Sudan and how the narratornarrotor and other characterschracters develop their connection with the country they were born in. In the novel, Salih presents the NorthernNothern and Southern Sudan as very different to each other. The Northern Sudan is modernizedmordernised, in that theretheere are many facilities such afacelities sucha s hospitals, schools and other modern infrastructures. Thismordern indrsstructures. Which is contrasted with the narrators village in SouthernSouthewrn Sudan, where theres hardly a school for children. This conflict of Sudan is reflectedrefelcted in the novel by TayebTayed Salih and the novel givens an impression of traditional tradional Sudanese values being replaced by materialistic things and technology. Furthermore, in 1956 Sudan gained its independence and tension was on its peak between the north and the south due to differencesdiffernces in religion and ethnicity. In 1983, the war brakes out againagin between the Muslim north and Christian south. Now the Southern SudaneseSudanease have gained their independence and are allowed to choose between unity and secession. The second narrator, Mustafa Saeed like the first narrator feels alienatedaliented when hes in Europe to complete his study and I, over and above everything else, am a colonizer, I am the intruder whose fate must be decided (pg 94) like the narrator, Mustafa Saeeds comment evokes a feeling of displacement. This raises an argument that is Europe a hostile place for anyone like the narrator and Mustafa Saeed or whether its just your personal experience. ReferringReferrring to the values Sudan, Salih clearly reflectsreflets these values and tradition through the characters. Mustafa SaeedsSaeeds wife Hosna portraysportays the character of typical loyal wife, who keeps the tradition of a Muslimmuslim wife After Mustafa Saeed, she answered with a decisiveness that astonished me, I shall go to no man . Her character is completelycompletly opposite to Jean Morris, to whom Mustafa Saeed married and then killed her. Her character reflectsreflecst the values and culture of England or what he sees in her I was pleased she laughed so freely. Such a woman- there are many of her types in Europe- knows no fear; they accept life with gaiety and curiosity. And I am a thirsty desert, a wilderness of southernsourthern desires. This statement stereotypes the women and the way they approach men and Mustafa Saeed gives an impression of women being objectsojects in his eyes. Thus he compares himself to a prey, on a look out for any women. Furthermore, h es suggesting that he comes from a place which wild and full of desires and in this case his desires are sexual ones. These two women are complete reversal to each other, one is loyal portraysportays the value of Sudan and other portrays the careless European woman. The values of Europe are very differentdiffernt to Sudan, however it doesnt seem to be affecting Mustafa Saeed and yet he goes further with his desires. Frantz Fanons Black skin White masks is about the search of true identity, race and skin color.colour. There is a fact: White men consider themselves superior to black men. There is another fact: Black men want to prove to white men, at all costs, the richness of their thought, the equal value of their intellect. In his book he presents his personal experience and comments on other theories of psychologists.psychiologists. Fanon presented the idea that a person is criticizedcritised because of their native culture, they then become victims of inferiority complex, when they are put in the middle of a superior culture. Thus he believesbelievs that black men have to adopt white masks in order to become part of the superior culture. According to him, the best way to achieve this is to speak the language of that culture and by speaking the language, you need to understand the values and adopt the culture.cultre. So did Mustafa Saeed put on a white mask? To an extent, its its clearly evide nt from his desires which are not the values of Sudan. It seems that Mustafa Saeed valued the white culture so much above his original culture. However, this is arguable, as he might be trying to become part of what he believesbeleives a superior culture; thus he adopts its its language as well as culture. Next point: Marlow similarly adopts the culture of Africa or Kurtzs. Like Kurtz at the end he becomes corrupted and lies. Structure, language, form used in HOD and SOM to create effect Critical conclusion on both novels/or any parallelsparalells

Kudler Fine Foods Database Analysis Essay -- Business Database Invento

Kudler Fine Foods Database Analysis Overview Kudler Fines Foods is a rapidly growing small business located in Southern California. Founded in 1998, Kudler specializes in providing quality gourmet foods to a wide range of customers. When Kudler opened its first store back in 1998, Microsoft Access was chosen as the database platform used to track inventory, orders and customers. While this initially proved to be an adequate solution, it has since outgrown its usefulness. Now with three stores and a fourth due to open soon, a new database management system must be put into place. One of the most detrimental problems with the Microsoft Access database is that it is limited to a file size of only two gigabytes. While this may initially seem like a large files size, it can rapidly grow and eventually reach this maximum size in a relatively short amount of time. This one drawback alone is reason enough to pursue a better solution. Another aspect of Microsoft Access that does not scale well is that it will not accommodate multiple users simultaneously. The database needs to be updated continuously by multiple users at each store. Running one instance of Microsoft SQL Server 2000 in a centralized location could easily handle the database needs of all of the store locations. Connections to the database could be made via Virtual Private Network (VPN) connections over the Internet. Updates to the database can be further streamlined by developing and utilizing a web based interface. The best solution for Kudler Fine Foods would be to implement an enterprise level database solution. Microsoft SQL Server 2000 would be a great fit for the database needs of Kudler Fine Foods. Microsoft SQL Server 2000 will easily meet the current needs of Kudler Fine Foods and also meet their needs of the future as they continue their growth. Existing Database Overview Currently the Kudler database contains nine tables. Each table is designed to support and facilitate the filling of orders placed by customers in the stores. Based upon the description of the tables that was posted on Kudler’s intranet and our analysis, the tables may be described in the following manner: The Customer table contains demographic data for each of Kudler’s customers. The data in this table is used to access the name and address of customers for order processing and for special maili... ... in Windows NT would automatically change and update the SQL Server password. If separate logins are desired, they will also be possible with the Mixed Authentication offered through Microsoft SQL Server 2000. The security settings will be able to be further customized by the use of permissions and roles. A permission allows a user to do something within the database, whether it is accessing and manipulating data or creating new objects within the database. These settings can be individualized, or given to a group of users by roles. Grouping the users into roles, either server or database roles, allows a way to assign permissions to multiple users at one time. For example, a salesperson would not have the same permissions as a manager probably would. Conclusion   Ã‚  Ã‚  Ã‚  Ã‚  The changes and updates that we have outline throughout this paper would greatly improve and enhance Kudler’s operations. This would be a much more effective, efficient database that would not only serve them well today, but allow for growth for tomorrow. References Developer.com – Retrieved on June 3, 2005, on the World Wide Web:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  http://www.developer.com/tech/article.php/10923_721441_1

Research and Background on Research Methodology

Methodology can be defined as the analysis of rules of methods, techniques and regulations. The methodological analysis involves the systematic survey of methods. Which are applied to analyse the survey or a specific undertaking. To make the survey planned and increase the trusty in the survey, the different of the methodological analysis can be accepted in the planned of the survey or frame of the survey. The research methodological analysis affecting the aggregation of theory, thought or construct of the survey, comparison of the survey that have different of the attack and single methods that have different of the attack and single methods that are conduced when the research is being performed. These mean that research methodological analysis was the bosom of the survey. It is a peculiar or set of processs. Research methodological analysis besides can be defined as the system of roll uping informations for surveies project. There are two manner of roll uping the information, either theoretical or practical research. Theoretical research is a procedure of placing a attention set of connections within a subject and the demoing how they fit together or related to the topic. For the practical research is, associating to, governed by or acquired through pattern or action, instead than theory, guess, or thoughts, by free lexicon ( hypertext transfer protocol: //www.thefreedictionary.com/practical ) . Harmonizing to M S Sridhar, ( October 17, 2010 ) says that research methodological analysis is a scientific discipline of analyzing how research is done scientifically. A manner to consistently work out the research job by logically following assorted stairss. Methodology aid to understand non merely the merchandises of scientific enquiry but the procedure itself. Harmonizing to S M Sindhar ( October 17, 2010 ) besides tell about the benefits of making the methodological analysis of research. The benefits are: Promotion of wealth of human cognition. Tool to the trade to transport out research ; provide tools to look at things in life objectively. Develop a critical and scientific height, disciplined thought or a ‘bent of head ‘ to detect objectively. Enriches practician and his pattern ; provide chance to analyze a topic in deepness ; enable the research workers to do intelligent determinations ; understand the stuffs which no other lend of work can fit. As consumers of research end product helps to instill the ability to measure and utilize consequences of earlier research with sensible assurance and take rational determinations. Making research is the best manner to larn to read and believe critically. For the societal scientific disciplines are methodologically diverse utilizing qualitative, quantitative and assorted method attacks. Qualitative information is highly varied in nature. It includes virtually any information that can be captured that is non numerical in nature. There is the type of qualitative informations: In-depth interviews Direct observation Written paperss Quantitative information is the term that used to depict a type of information that can be countered or expressed numerically. This type of informations collected in experiments, manipulated and statistically analyzed. To stand for the quantitative information is in graphs, histograms, charts and tabular arraies. Assorted method in research is the combine of quantitative and qualitative informations. In the survey consequences subsequently, there will be the combine of the two informations, the information from the qualitative informations and informations from the quantitative information. It besides can supply more comprehensive replies to research inquiries. In the instance of research ‘Reading wonts among pupil in Faculty of Information Management ‘ , some method is used consistently to do the consequences of the hypothesis can be more clarify. In this survey, a batch of information was gathered from two types of beginnings which are printed and electronic beginnings. The printed stuffs can be easy found in Perpustakaan Tun Abdul Razak PTAR, Puncak Perdana Library, and electronic beginnings can be easy happen utilizing internet or any database. From these beginnings, a batch of information about this article ‘Reading ‘ easy to be found but it difficult to happen when the rubric focused to the specific range, which is ‘Reading wonts ‘ , or ‘Reading wonts among University pupils ‘ and ‘reading wonts among pupils ‘ . So, I forced to broad range to finish this survey. 3.1 TYPE OF RESEARCH AND RESEARCH DESIGN In this range will stating about the type of the research and the research design that will be use in this survey. Here will be the particular of the type of the research and the research design to do others easy to cognize about this survey. 3.1.1 TYPE OF RESEARCH Harmonizing to Department of Health and Human Service ( DHHS ) , ( February, 2009 ) says that research wasaˆÂ ¦ . â€Å" a systematic probe, including research development, proving and rating, designed to develop or lend to generalise cognition. Activities which meet this definition constitute research for intent of this policy whether or non they are conducted or supported under a plan which is considered research for other a plan which is considered research for other intents. For illustration, some presentation and service plan may include research activities ; hypertext transfer protocol: //www.hhs.gov/ohrp/humansubject/guidance/45cfr46.htm # 46.102. † However, harmonizing to University Research Council, Nipissing University, ( January 29, 2008 ) says that research is any original and systematic probe undertaken in order to increase cognition and apprehension and to set up facts and rules. It comprises the creative activity of thoughts and coevals of cognition that lead to new and significant improved penetrations and/or development of new stuffs, devices, merchandises, and processes. It should hold the potencies to bring forth consequences that are sufficiently relevant to increase cognition. Good brooding enquiry produces theories and hypothesis and benefits ay rational effort to analyse facts and phenomena. This hunt for single facts or informations requires an open-ended inquiry for which is there no ready reply. Datas are gathered through experiments, studies or other methodological analysiss. So, the research significance is the original plants and systematic probe on cognition by person who have the involvement to make the research. It is besides to increase cognition and understanding on a topic. There are two type of research. However, research can be classified by intent or by method. If the research by intent, it have two classs, basic research and applied research. If the research by method, there are besides have two classs, deductive research and inductive research. In this survey of ‘reading wonts among pupil in Faculty of Information Management ‘ can be classs as applied research because this survey utilizing the basic research to increase the past theories, cognition and methods to work outing this survey. 3.1.2 RESEARCH DESIGN Research design is a model or design for carry oning the research undertaking. Harmonizing to the instruction lexicon, ( Jan 14, 2009 ) , research design is a program sketching how information is to be gathered for an appraisal or rating that includes placing the informations assemblage methods, the instruments to be used or created, how to instrument will be administrated, and how the information will be organized and analyze. There are few constituents of research design. It is: Specify the information needed. Design the exploratory, descriptive, and caused stages of the research. Stipulate the measuring and grading processs. Construct the pretest a questionnaire or appropriate signifier for informations aggregation. Stipulate the sampling procedure Develop a program of informations analysis There are two type of research design. It is quantitative research design and qualitative research design. In the quantitative research design, there are three constituent of quantitative research design. It is descriptive research, experimental research, and Quasi-experimental research. For the qualitative research design besides have three constituents in it. It is historical research, ethnographic research and instance surveies research. So, the research design is the general program on how research goes about replying research inquiry. This research on ‘reading wonts among pupil in Faculty of information direction ‘ will utilize on descriptive research because this type of research can accurately portrays the state of affairs of pupil perceptual experience on reading wonts among pupil in Faculty of Information Management. Descriptive research phenomena as they exist and it will analyze by and large take natural informations and sum up it in a functional signifier. This type of research design that involve doing careful description of the state of affairs of the reading wonts. It is necessary to hold clear image of the state of affairs how the information should be collected and sum up. The study design conducted indiscriminately to the pupils in Faculty of Information Management semester five and six merely. However, there are four classs in module of Information Management. It is IM221 ( Library Science Management ) , IM221 ( System Management ) , IM222 ( Records Management ) , and IM223 ( Resource Center Management ) for semester five and six. These types of pupil normally know about reading and reading wonts mean in finishing the surveies. The suggestion from them can better reading wonts among pupil and besides can better the stuffs in library that can increase reading wonts among pupil in Faculty of Information Management. The study on pupils will assist the lector, pupil and librarian in Faculty of Information Management to increase the reading wonts and besides foster the spirit of reading among pupils. The research will utilize questionnaire to acquire back the feedback from the pupil. The questionnaire is a research tool that consists of a series of inquiries defined by the research workers. From the questionnaire, the research workers can cognize and the research besides can make the summarize on the research. The questionnaire will be distributed among pupil in Faculty of Information Management, UITM Puncak Perdana. In module of Information Management, there are four classs, which are IM220 ( Library Science Management ) , IM221 ( System Management ) , IM222 ( Records Management ) , and IM223 ( Resource Center Management ) . From 100 sets of questionnaire, 25 sets will be distributed for each class. The distribution of the questionnaire will take the topographic point in the country of Faculty of Information Management, UITM campus Puncak Perdana, Shah Alam. The questionnaire will be collected by custodies of me as a research worker. 3.1.3 THEORETICAL PERSPECTIVE Figure1: Theoretical position: reading wonts, reading stuffs, frequence of reading, sum of stuffs in reading, and reading stuffs types harmonizing to gender. Independent Variable: Dependent Variable: Reading stuffs Reading Habits Frequency of reading Sum of stuffs in reading Factor influence reading wonts 3.2 VARIABLE In the research works, there are two type of variable that a normally usage. It is dependent variable and independent variable. Dependent variable is the use or introduces the independent variable. This sort of variable is depending on itself. The independent variable is the variable that needs the dependant variable to stand. Independent variable can non stand itself. This conceptual model indicates the relationship which consists of the dependent and independent variables. This model denotes the four variables which causes to individual variable which were affected by the independent variable. Reading wonts is dependent variable, the discrepancy in which to be explained by the four independent variables which are reading stuffs, frequence of reading, sum of stuff in reading, and reading stuffs types harmonizing to gender. The independent variables in this instance are reading stuffs, frequence of reading, sum of stuff in reading, and reading stuffs types harmonizing to gender. Therefore, it is really of import of reading wonts for pupils. On the other manus, the dependent variable is the reading wonts. It can be seen clearly that the independent variables have influenced the dependant variable. This research indicate and lucubrate clearly that the reading stuffs, frequence of reading, sum of stuffs in reading, and reading stuffs types harmonizing to gender among pupil as an independent variables that will hold an consequence and supported to reading wonts among pupil as a dependent variables. Reading wonts Reading wonts is the behaviour of the pupil in their reading. It is about the continued and regularly reading the stuff they like to read. Example, the pupil read the newspaper on a regular basis. Reading stuffs Reading stuff is the stuff that the pupil return and like to read, but the stuffs they read for reading wonts is the stuffs that they read on a regular basis. Example, newspapers, magazines, cartoon strips, and novels. However, they must depict what name or types of newspapers, magazines, cartoon strips, and novels they frequently to read. Frequency of reading Frequency of reading is how frequent the pupil read the stuffs. How much clip they spend in their reading every twenty-four hours. Sum of stuff in reading Sum of stuffs in reading is the Numberss of stuffs they take to read in a twenty-four hours. Means that do the pupil refer to take more than one stuffs in a twenty-four hours for their reading wonts. Factor influence reading wonts In the reading wonts there must be the factors that influence people or pupil to read. Usually pupil reading because they want to complete their assignment and plants and they besides influence by their household and friends. There are ever holding influence why people or pupil read and why they take the stuffs as their reading wonts. 3.3 RESEARCH METHODOLOGY Research methodological analysis is the manner that shows the aggregation of informations for the research undertaking. In this subdivision would state about the type of informations and aggregation methods, the population for this survey, and the sampling design for this survey. 3.3.1 PURPOSE OF RESEARCH To make or to get down the research, the research workers need to cognize what capable that have meet his or her involvement to pull him or her to make the research. Then, there besides must hold the intent of making the research. This is the first measure to make a research, must cognize the ground why the research workers do the research. There is few intent of the research workers do the research. First intent is account. Every research workers need to cognize the intent of the research that he or she making. The research workers do the research because they want to increase the cognition and develop the new cognition that already has done by the past research workers. So, to make the research is like to explicate on the topic that has being chosen to make. The research workers must explicate why the research must be conducted and explicate his or her involvement on the topic that they have chosen to be their research. The 2nd intent is anticipation. Doing research is for the research workers make the anticipation. Research is assisting the research workers to measure the state of affairs and give the prognosis what will go on in the hereafter. Type of the information that has high demand in the market now is the anticipation of new merchandise. These besides use to do anticipation that what will go on in the hereafter. This will do the research more interested by the research workers in the hereafter. The 3rd intent of making research is discovery. Making research like the research workers found something that truly of import and this information will be so valuable in the hereafter. That why research making the research. It is to detect new thought, new cognition, and besides increase the cognition that has being done by the past research workers. The last intent of making the research is hypothesis. Making the research, the research workers must cognize and make the hypothesis of their research. The research workers should cognize the hypothesis of the research that he or she conducted. For this survey ‘reading wonts among pupil in Faculty of Information Management ‘ is utilizing the applied research. So, here the intent of the applied research, proving theories, generates the survey, use the survey in the existent universes, and address more than merely the abstract rules. The hypothesis of this survey is promoting pupils to read and do reading as their wonts. After administering the questionnaire and do the analysis of the questionnaire, this survey can be applied by the existent universes as the mention. 3.3.2 TYPE OF DATA AND DATA COLLECTION METHOD There are two types of informations that normally use in research plant. It is quantitative informations and qualitative informations. Quantitative information is in the numerical information. The information can be countered and showed in the numerical information. Normally this sort of informations collected in experiments, statistical analyzes and manipulated. For the qualitative information is sort of informations that non in numerical informations. It is much more than words and text. Normally, it showed the exposure, picture, sound recordings and so on. This sort of informations can be collected by making interview, direct observation, and written papers. The survey ‘reading wonts among pupil in Faculty of Information Management ‘ utilizing the quantitative information. The information for this survey will be collected by distribute the questionnaire. In this questionnaire there must be the inquiry inquiring the respondent about the survey. From the informations that collected by questionnaire, I can acquire the reply about the survey I am making. 3.3.3 Population Population in research plant is stating about the group of people that where the topic that the research workers taking. The group besides will stand for the plants of the research workers. Before the research workers set the population for his or her research, the research workers must cognize about the community that he or she wants to go his or her population. The characters of the community besides must be known. The community that will became the population in the research works besides must hold experience and cognition about the research that the research workers conduct. The population besides is a group of the possible participants that will go the researcher population so that the research workers can generalise the consequences for his or her survey. The population of the research for the survey ‘reading wonts among pupil in Faculty of Information Management ‘ is the pupil from semester five and six in the Faculty if Information Management. But, the pupils as the population in this survey come from the 4 classs in the Faculty of Information Management. The four classs is IM220 ( Library Science Management ) , IM221 ( System Management ) , IM222 ( Records Management ) , and IM223 ( Resource Center Management ) . The selected inquiry will be give one questionnaire and they have to finish the questionnaire. The pupils that will be selected are indiscriminately in the country of pupil semester five and six from the four classs. The feedback that given by the respondent will give the consequence to the survey that conducted. 3.3.4 SAMPLING DESIGN Sampling design of the research works is one of the procedure, action or technique in the choosing of the sample that the researcher demand to make to acquire the information from the population that he or her mark as the respondent of his or her survey. These samplings besides refer to the communities that represent the information for the survey from the hall community. This mean that there will be some of the community will be taking to be the respondent of the research. The research workers need to make the sampling design to do the decision from the sample that on the population or from the questionnaire that have been distribute. From the trying design besides the research workers would acquire the reply for his or her research. Sampling design is of import because the sampling can demo the mark of the research workers on the survey. In this research, the simple random sampling has been used. Selected a group of the topic ( a sample ) and for the survey from the larger group ( a population ) is one of the simple random trying design in the basic technique. Each individual in the population will be selected as the mark respondent. In the conceptual, simple random sampling was the simplest of the sampling technique. It is non necessitate a big population. In the simple random sample, the research workers must take one of the people in the population and from that, there must non hold any order to take a specific person. Here mean that, there no specific person but choose the individual in the population indiscriminately. Exploitation and make the sampling design have the advantage. The advantage of making the trying design is it is easy, simple and can be apply in the little population. However, there are disadvantages making this trying design. It is the research worker demand to name the point and individual in a population before making the distribution of questionnaire so the research workers need to make the distribution work in the big population harmonizing to what he or she listed in the sampling design. In this survey of ‘reading wonts among pupil in Faculty of Information Management ‘ , the questionnaire will be distributed indiscriminately to the pupil on Faculty of Information Management, UITM Puncak Perdana, for the four classs which is IM220 ( Library Science Management ) , IM221 ( System Management ) , IM222 ( Records Management ) , and IM223 ( Resource Center Management ) . There are 80 questionnaire will be distributed indiscriminately to the pupil in Faculty of Information Management and the pupil that have been choose was pupil from semester five and six merely. 3.4 INSTRUMENT DEVELOPMENT The instrument is used to mensurating some of the quality or the ability of the topic or the research works. The intent of the instrument is to assist the research workers to do the sampling of the survey to acquire the information for the survey. An instrument can be a trial, signifier, interview, checklist, and a set of classs. Normally in research plants they use two of this instrument, questionnaire or interview. Questionnaire is the inquiry that have stated by the research workers in the documents and this inquiry must be fill wholly by the respondent. The questionnaire is the open-ended inquiries. Interview is when the research workers go run into person that a professional in the topic that research workers do and making the interview by face-to-face. The questionnaire is the simple manner to administer the study to the population that has been chooses by the research workers. The questionnaire will be giving and collected by manus by the research workers itself. It is different in making interview study. The research workers need to travel personally making the interview and normally the individual that being interviewed must be professional in the field that the research workers research. The format questionnaire can act upon the quality of informations collected, but the order of the points in the questionnaire can act upon the reply from the response given. The questionnaire must be stick to the intent of the topic, the topic that have been taking, and the aim of the research. The questionnaire strategically composed utilizing assorted inquiries formats, it is unfastened inquiry and close inquiry. Giving the questionnaire to the respondent is the appropriate for this sort of research which is needed the sentiment and perceptual experience from the respondents on the research subject which is ‘reading wonts among pupil in Faculty of Information Management ‘ . The questionnaire content three ( 3 ) parts focused on specific countries. The countries of the probe focal point on: answering involvement in reading, respondent reading behaviours, and answering sentiment. Each of the subdivision will be described below: Part A: Demographic This subdivision will state about the characters of the respondents that have being chosen. Part B: Answering Interest IN READING In this subdivision consist of inquiry on the questionnaire is about the involvement of the pupil in the stuffs the ever read, the stuff that the pupil choose to read as their reading wonts, and why they choose the stuffs as their wonts in reading. Part C: RESPONDENT READING BEHAVIORS Answering reading behaviours tell about the times the pupil refer to do the reading, where the topographic point the pupil want to read normally, type of the stuff the pupil refer to read, the type of the entree stuff the pupil choose to read, and how many stuffs the pupil read in a hebdomad. Part D: Answering Opinion This subdivision ask the sentiment of the pupil on the bash they agree or disagree with the stuffs they choose can assist them in survey, do the reading spring or increase their cognition and experience, and what the pupil sentiment about the reading wonts and do the reading wonts can assist to determining the personalities of the pupil. 3.5 DATA COLLECTION Data aggregation is the procedure where the research workers roll uping the information from the respondent that being take either the research workers distribute the questionnaire or interview. Data aggregation besides the manner of colleting the information for the usage in the assorted of survey or doing determination in some state of affairs. Data aggregation is the of import component in the research survey. Data aggregation can be made in several ways, either the research workers choose to utilize the distribution of questionnaire, interview, or direct observation. To be after the informations aggregation the research workers must carefully believe on the inquiry that he or she will set in the questionnaire or in the interview because the reply or the consequence from the questionnaire and the interview will give impact to the information analysis and the research the terminal of it. The research workers besides must believe how to form the information, the inquiry and information subsequently and before the distribution of questionnaire and interview. The research workers should believe in this information aggregation, what inquiry or information should he or she put and how much the information the research workers should roll up. In the informations aggregation the research workers should set the information about the sum of the participant that will be in the research, feature of the research, type of the participants, demographic informations and what the research privation to make. All the informations aggregation must associate to the research. To roll up the information for the research, the research workers must utilize this type of informations aggregation method. It is sentiment study, questionnaire, single interview and group interview, simulation, and direct observation. But, normally the celebrated method in the information aggregation is utilizing the questionnaire and interviews. It is easy to utilize and faster to acquire the informations feedback. To take the method for the informations aggregation, the research workers must cognize the handiness, dependability and cogency. Availability is about the inquiry that the research workers want to utilize in the questionnaire or in the interview, is it the inquiry is available and is it the information from the consequence subsequently is available to the research. Making the research works, the research must hold the dependability and the cogency. If non there must be job in the research works. In this survey ‘reading wonts among pupil of Faculty of Information Management ‘ the research workers use the questionnaire in the information aggregation. For the informations aggregation, in the questionnaire, the research workers divide inquiry into four subdivisions harmonizing to the of import of the surveies. The four subdivisions is demographic, answering involvement in reading, answering behaviours and the last subdivision is answering sentiment. In the questionnaire, there are parts that I do the inquiry utilizing the likert grading. Likert grading is the popular format in the research questionnaire. For this survey, I ‘m utilizing the disposal likert grading, it is each respondent is asked to rate the inquiry have been inquiring in the questionnaire harmonizing the sentiment of the respondent. Example of the disposal likert grading is figure 1 until 5, figure 1 refer to the strongly disagree and figure 5 refer to the strongly agree. In this survey besides have the inquiry inquiring about the sentiment of the respondent on the topic that I take to be his or her surveies. Besides, in the questionnaire, I ‘m inquiring on the behaviour of the respondent about the survey that I conduct. Using the questionnaire in these surveies has the advantages and disadvantages. The advantage is utilizing the questionnaire, the collected informations faster because I can give to the respondent by manus and acquire feedback besides by manus. But, the disadvantage is some of the respondent will make non desire to reply the questionnaire and if they want to reply, sometimes they do non reply the inquiry. 3.6 DATA ANALYSIS After the research workers collect the information, the research workers must making the informations analyze to analysis the information that have been get by the research workers. The information analysis is the procedure on to measure the informations that have been collected. There are three plants have to be considered in the information analysis, it is data readying, descriptive statistics, and illative statistics. Datas that have been get from the respondent must be prepare to analyse it. In this readying of the informations, the respondent must make the checking works, reexamine the information for the truth of the informations, altering the information, and develop the informations and certification the construction of the informations utilizing the assorted actions, either utilizing the computing machines or manual. Descriptive statistic is used to give the basic visual on the information in the survey. In this descriptive statistic, the action that been taken is making the simple analysis and simple sample of the steps. In this action, there must already hold the simple graph that shows the analysis from the information that have been collected. The last of the plants in the information analysis that research workers should see is the illative statistic. In this works the research workers do the decision of the informations that the research workers have been prepare, and analyse it in the descriptive statistic. In this subdivision besides the research worker do the hypothesis works. However, the research workers must cognize about the informations methods of the information analysis that the research workers will used. Is it the informations that the research workers collected is more on the qualitative informations or in quantitative informations. In this survey ‘reading wonts among pupil in Faculty of Information Management ‘ , I am utilizing the SPSS ( Statistical Package for the Social Sciences ) . SPSS is the characteristic that are truly of import to analyse the statistic for the societal research. 3.7 Decision For the decision, the research methodological analysis is stating about the method that being used in the research works by the research workers to complete the thesis. In this chapter, there must be about the type of research that research workers used, research design for this surveies, the variable of the surveies, research method have to used to finish this research works, the informations aggregation, and the information analysis that must make in this research. In this chapter will state briefly about the research method that must be used before continue to another chapter that more profoundly about this surveies.

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.