Monday, January 27, 2020

Sluggish Cognitive Tempo (SCT) Overview

Sluggish Cognitive Tempo (SCT) Overview Coming Soon to a Doctor Near You At the current rate, in 2017, half a million American children will be taken to their doctors and be newly diagnosed with ADHD. Many of them will receive thoughtful and reasonable evaluations and benefit from medication. Another sizable number will be seen by casual clinicians who either bypass the childs real problems or give in to his frustrated parents and teachers. Some of the adolescents will be faking ADHD just to get Adderall for themselves or others. Whatever the actual breakdown, there will be 500,000 new diagnostic visits, millions of follow-ups, ten of millions of pills, and hundreds of millions in sales. Lots of business for everyone. Apparently, this market must expand. The same folks who built todays ADHD machine the same doctors, the same drug companies are already working on tomorrows. A new disorder is being buffed and burnished as you read this. Its name: sluggish cognitive tempo, or SCT. Its kind of like ADHD, but not quite. SCT is a syndrome marked by daydreaming, lethargy, and slowed thinking or behavior. Some SCT researchers claim that they are simply trying to resolve some long-standing confusion about ADHD. SCT attempts to rename the merely inattentive children who have never quite fit the ADHD construct. They say that a many as three million children have the disorder half of them already diagnosed with ADHD. Anyone who gets diagnosed with SCT will find help ready and waiting. Eli Lilly has already enlisted Russell Barkley and other doctorsÂÂ   to investigate how Strattera would treat SCT, too. *** Most countries have cringed at Americans approach to difficult children. They have viewed ADHDs explosion as an American travesty borne of parental impatience and corporate greed. International experts concluded that diagnosing and medicating the most severely hyperactive kids really could be justified. But the criteria for pharmacological intervention were kept far more restrictive. The international community has rejected the APA definitions and instead relied upon what the World Health Organization defines as hyperkinetic syndrome. That diagnosis requires a child to have significant problems in all three of ADHDs symptom groups hyperactivity, impulsivity, and inattention and includes other barriers to haphazard diagnosis. When applied appropriately, this definition results in 1 to 2 percent of children being told they have the disorder. Some nations, such as Brazil, France, Italy, and Sweden, remain very conservative toward the diagnosis, and especially the medications in cases anything less than dire. The United kingdom, the Netherlands, and Germany have been more liberal in accepting the ADHD concept, to the point that some estimates of diagnosis rates in those countries have reached about 5 percent. As for ADHD drugs, no country has anywhere near the enthusiasm of the United States, which had prescribed more than 90 percent of the worlds amphetamine and methylphenidate. But the rest of the world is catching up. From 2000 through 2010, its consumption of ADHD drugs almost doubled. Concerta had geared up its advertising in Europe. Shires has taken a less direct route to growing its offshore market, educating doctors about ADHD itself so that prescriptions follow. In a medical conference at the National Institute of Health in 2015, Keith Conners spoke at a panel called ADHD Around the World. He recounted his decades in the field, from his work with Leon Eisenberg to minimal brain dysfunction to what he now declared were outrageous rates of ADHD diagnoses. He warned against the imminent world-wide influence of pharmaceutical companies, and all but apologized from his having worked on their behalf for decades. *** Meanwhile, some health officials in Georgia were concerned about how many young children in the state were on ADHD medications. Georgias rate, 6.1 percent, was growing, and disturbing. They called the Centers for Disease Control and Prevention, and asked Dr. Susanna Visser, the epidemiologist for ADHD, to run the numbers on four- and five-year-olds. Visser discovered that more than ten thousand toddlers kids ages two and three, still in diapers across the United States had been diagnosed as ADHD and put on Adderall, Concerta, and the like. She wrote up a formal report and presented it at a conference on childrens mental health at the Carter Center in Atlanta. The report begged a response from government health agencies to address what was going on here. A few days later, Dr. Tim Insel, director of the National Institute of Mental Health, responded in a blog post, saying that most of the prescriptions for stimulant drugs were not from psychiatrist. Insel was right. Most diagnoses in children are indeed made by pediatricians and family doctors, rather than better-trained and more experienced child psychiatrists, who must receive two extra years of schooling in order to practice. But the United States has only about eight thousand practicing child psychiatrist. Its no wonder that parents prefer seeing someone closer, cheaper, and more familiar with their child: their pediatrician. Unfortunately, most pediatricians were taught about ADHD and stimulants for only a few hours out of the entire seven years in medical school. Two longtime members of ADHDs horn section, Peter Jensen, and Ned Hallowell, have joined Keith Conners to hold seminars across the nation to teach pediatricians how to diagnose ADHD, and how not to diagnose it.

Sunday, January 19, 2020

Leadership philosophies

There are many types of leadership philosophies that all require a clearness of purpose to be successful. Their difference lies in their approach to dealing with the subject of leadership and followership. It is essential to define leadership philosophy first before engaging in a long discussion on the types that comprise it. So what is exactly a leadership philosophy? Encarta defines philosophy as 1. Examination of basic concepts: the branch of knowledge or academic study devoted to the systematic examination of basic concepts such as truth, existence, reality, causality, and freedom2. School of thought: a particular system of thought or doctrine 3. Guiding or underlying principles: a set of basic principles or concepts underlying a particular sphere of knowledge 4. Set of beliefs or aims: a precept, or set of precepts, beliefs, principles, or aims, underlying somebody’s practice or conduct Leadership philosophy is therefore based on a set of ideas and beliefs that set the ex ample to how many people experience their lives or envision their future. Leadership philosophy is an understanding combined with a purpose for the aim of advancing the general good.Leaders use different and various philosophies to motivate their followers whether those are citizens or employees. The type of philosophy adopted by a leader usually depends on the outcomes desired. For instance, a common type of leadership philosophy adopted by business employers is enlightened philosophy where the ideas of the employees themselves are used to change, improve and advance the organization. The leader assumes the role of the guide and inquires into what people would like to see within the organization thereby effectively involving them in the process and making them feel useful.The employees or followers give their opinion, suggest the ideas they would like to see in reality coming out and compose a plan through which to achieve that. This all is done under the directive leadership of a person who assumes the role of counselor, advisor and guide without imposing his views on the process and thereby securing both the involvement of the followers as well as their productive happiness since they would feel more useful when they can contribute to improving their lives with their ideas.Not all philosophies work or achieve the desired effect. One of the less successful philosophies, in contrast to the successful enlightening type of leadership philosophy that has already been mentioned, is called the â€Å"groupthink†. It is very similar to the enlightening philosophy where the people are supported to give their opinion and share their ideas. However what makes the groupthink less desirable as a leadership philosophy is that it mainly supports the person who develops the idea but does not examine the idea in itself.(Baird) As a consequence of this, bad policies are often made official since the leader's role was limited to supporting instead of both supporting and criticizing the ideas that were developed. It is therefore essential that a leader combines between the role of guide and critique in an open discussion of ideas exchange to both secure the inclusion of only good ideas as well as keep the atmosphere competitive and fresh which would not happen if all ideas are passed.The next type of leadership philosophy to be examined is called the autocratic leadership and it is a style that is, as the name might suggest, full of tyranny and despotism which makes it thus very similar to dictatorship and completely different from the two types of leadership styles that have been mentioned so far and that are more democratic in nature. The autocratic leadership style is mainly seen in governments just like the enlightening leadership philosophy is mainly applied in businesses.The autocratic style involves more negative than positive sides and that is mainly because the type of rule associated with it is one of complete control and lack of freedom which goes against human's most basic need and essential human aspect. Though this style is more likely to be found in governments businesses do have tyrants themselves. For instance a CEO may fire any employee who does not agree with him which connotes lack of diversity and a suffocated repressed atmosphere where the worker or citizen is not able to achieve his true potential.The next example in leadership philosophy is the servant style of leading others. While most leaders tend to lead others with the assumption that that requires a certain traditional superior attitude, experience and research have proven that the inclusion of the followers in the process is more likely to produce the desired results. A more humble and less arrogant attitude is therefore more appreciated from the leader himself. It is understandable and logical to think of leaders as little bit over the top figures who are in a way part of the group but still above it.But as stated, this approach might not produ ce the best environment for all and therefore a servant leadership style is the best solution for the problem. Servant leadership opposes autocratic leadership and as has been exemplified autocratic leadership usually fails. Paul McDaniel in his article How to Practice Servant Leadership illustrates the role of the servant leader very clearly and eloquently in the following words A servant leader acts as a steward to the organization's financial, human, and other resources.Servant Leadership emphasizes trust, empathy, collaboration, and the ethical use of power. At the heart of servant leadership, the individual leader of an organization is a servant first. He or she makes a conscious decision to lead in order to better serve others, not to increase his or her own power. The servant leader's objective is to enhance the growth of individuals in the organization and increase teamwork and personal involvement. It is interesting to observe these different types of leadership and to also reflect on what makes one more successful than another.In the case of servant leadership versus autocratic leadership the leader assumes the role of a humble servant to the others in the group thereby getting closer to them and assuring them that what matters is the advancement of the goals and the achievement of their purpose. After all true leadership emerges from the true desire to help others. Through becoming more familiar with the group one assures that positive change is more assured as he can allocate the different tasks in a more effective manner to those who can perform them best.It also guarantees the trust of the follower in the leader when the latter's personality and agenda are better understood. Servant leadership is a way through which to foster trust into each other and creates an environment where the voice of every member counts which makes a joyful working and living environment more possible. Enlightening, autocratic and servant leadership have been mentioned s o far. The next types of leadership philosophy that deserve a closer inspection are the ethical leadership†¦..and the collective leadership. The latter is hard to define since it is still a relatively new area which makes and many people have different theories about it. Collective leadership has been defined by Alain Gauthier as Co-leadership that embraces the diversity of people and perspectives and frees up self-initiative and collective intelligence. When practiced across sectors, it creates the conditions for societal learning and innovation through an increased sense of interdependence and a deeper trust in self-organization.It is commonly agreed that it incorporates cultural and technological resources in a manner that allows people to work together better for the advancement of the community's prosperity. Collective leadership is only possible when the members of a group have formed a closer bond with each other and therefore can work better together. Collectivity after all is more about the â€Å"we† than the â€Å"I†. Ethical Leadership is when the leader is very familiar with the essential values of his convictions and has the vision and courage to live up to them and include them in his work and realization of his goals.Ethical leadership combines between the inner values and beliefs of the leader in question and the behavior and external conditions of the outside world. People who want to make a difference need to combine between their vision, and all that comes along with it in terms of integrity and clearness of purpose, and their commitment to do well and make a difference. Ethical leadership assumes that only through embracing the inner journey one can really express and realize the outer one. To understand what makes a person a leader it is essential to first grasp what differentiates him from a follower.A person does not need to be a hero to be a leader. Leadership does not come in one form or type and different type of pe ople suit different forms of leadership. Leadership does not have a gender requirement. Men and women can both lead. The secret lies in convincing others of your ability to realize their dreams and advance the common good. As stated leadership comes in many forms just like the leader does. People naturally differ in how they define the word in itself and nobody can say that their vision is right or wrong since the issue is broad and left to different interpretations.Followers naturally expect leaders to show them things and set for them an example. They expect the leader to take care of their needs and therefore it follows that being a leader is neither an easy job nor one that anyone can conduct regarding the many responsibilities attached to it. Leadership philosophies are based on the vision and experiences of the leader. Leadership is never stagnant as it is always a subject of continues development depending on the circumstances and the different ideas the leader himself might develop over time.Leadership philosophy is therefore a subject of continues growth regarding its attachment to the human nature who is never stagnant and always seeks change and new ideas. Many of the leadership philosophies that are practiced nowadays were used by the Marine Corps and involve â€Å"Justice, judgment, dependability, initiative, decisiveness, integrity, loyalty and enthusiasm†(Leadership Philosophies). Each of these terms will be given a ore thoughtful explanation in the following regarding the importance of each word in defining the various leadership philosophies and understanding them.Justice makes an individual more consistent and better valued. It makes the leader avoid criticism of favoritism and therefore decreases the tension in the group. The ability to use judgment to avoid being accused of favoring one person above the other is therefore very important for a leader. Dependability on the other hand is â€Å"is the willing and voluntary support of th e policies and orders of the chain of command† (Wright, 1984/2002). Being dependable means being reliable and therefore trustworthy which are obviously great and essential characteristic in a leader.Along with this goes initiative that shows enthusiasm and sets the example. A good leader needs to always set the right and best example to inspire the followers. (Leadership Philosophies) Decisiveness shows the ability to make a decision and therefore the ability to lead. This again increases the trust of the group in the leader and secures success. Loyalty on the other hand shows commitment to the group and its goals and enhances the trust of the people in the leader. It shows integrity and honesty and these are essential traits of a good leadership philosophy.Leadership philosophies are very different but at the core they have the same purpose in mind which is leading. Leaders are thus guided by their leadership philosophy. The question that might arise in relevance to the diffe rent types of leadership is whether it is better as a leader to be feared or loved. As has been discussed previously autocratic leadership is less successful than the enlightening or servant form of leadership. However, Harvard professor Scott Snook provides a different interpretation of the issue.He illustrates through two examples that different leadership styles do not necessarily result in the success of one above the other. He argues that leadership is essentially influenced by human nature and therefore by the philosophy of the person in charge. Though different in approach both leaders still have the same vision which is success and achievement of goals. He provides the following two examples to enhance this theory further. Bobby Knight Bobby Knight, also known as â€Å"The General,† is the head coach at Texas Tech University.He’s a fiery, in-your-face taskmaster who leads through discipline and intimidation, which some critics say goes too far. Knight was fired from a long career at Indiana University for grabbing a student, and prior to that he was filmed clutching one of his own players by the neck. And then there was the infamous incident during a game when Knight tossed a folding chair across the court to protest a referee’s call. Mike Krzyzewski Mike Krzyzewski, also known as Coach K, leads the men’s basketball program at Duke University.Instead of fear, Krzyzewski relies heavily on positive reinforcement, open and warm communication, and caring support. For Coach K, â€Å"It’s about the heart, it’s about family, it’s about seeing the good in people and bringing the most out of them,† says Snook. (Ambler) Both coaches achieved desirable results with their teams despite the different leadership philosophies they believed in. To be successful in one of these types of leadership it is however essential to be fully convinced of it being the right style for you.Ones actions have to be in harmony w ith one's words and that is only guaranteed if the leader knows where he stands. The success of a leadership philosophy therefore depends on the leader's full awareness and adherence to it which is the only way through which to guarantee the right implementation of it. Leadership is about inspiring others. This leads the discussion to creative leadership where leaders search for opportunities and introduce change through discovering them.Creative leadership is about solving problems no matter what they are as it evolves around finding new and creative methods to approach things. Creative leadership inspires people to do great things and encourages them to always improve their performance and keep their attitude at all times positive and forward-looking. People perform the required task for a manager but an inspirational leader makes them do their entire best and put all their effort in, not only for financial reasons but because they feel inspired. The following picture illustrates the working dimension of inspirational or creative leadership.

Saturday, January 11, 2020

Ethics and Legal Issue Essay

At the time I worked as a custodian in a department store, I was faced with an ethical dilemma of whether accepting a bribe from a colleague of higher position to manipulate cash transactions in her favor. This was of course an issue for me since I knew manipulating business transactions is unethical and wrong, more so that it involves the company’s resources. However, I realized I really did not have to ‘think it through’. I instantly said no, that I absolutely could not do it because I knew it was an absolutely dishonest act. My colleague just shrugged and I thought maybe he was used to such a reaction. People decide differently. When faced with such situation, it would be just normal that two different persons would come up with different decisions, probably either going with what the ‘boss’ wants or going against it. This may be because of different beliefs, of which is the right thing to do; or different needs, probably experiencing dire need of money; or maybe even a feeling of powerlessness compared to the boss. An ethical issue such as the situation presented above may entail, for some, deep thinking of what is righteous or not; or with regards to what decision to take when faced with such a ‘choice’. Basically, we know that the society decides what is immoral or not. It is the society’s norms, which refer to what is unethical or not. But is it the person himself who determines what is right. Some people believe some things are right, others believe otherwise. It all depends on the person. Even the ‘rightfulness’ of what is right has always been a question between different cultures with different beliefs and principles. Despite the gift of intellect and rationality, sometimes humans still fail to perform a reasoned judgment of ethical issues, instead fall prey to gut reactions or immediate and ignorant decisions. This may be probably due to the person’s attitudes, how gullible he is, or not, to such ethical situations; the environment or society he grew up in; how ‘imbibed’ choosing between right and wrong is on the person; and his personal decisions as well.

Friday, January 3, 2020

Electrical Current Definition

Electrical current is a measure of the amount of electrical charge transferred per unit of time. It represents the flow of electrons through a conductive material, such as a metal wire. It is measured in amperes. Units and Notation for Electrical Current The SI unit of electrical current is the ampere, defined as 1 coulomb/second.  Current is a  quantity, meaning it is the same number regardless of the  direction of the flow, without a positive or negative number. However, in circuit analysis, the direction of current is relevant. The conventional symbol for current is  I, which originates from the French phrase  intensità © de courant, meaning  current intensity.  Current intensity is often referred to simply as  current. The  I  symbol was used by  Andrà ©-Marie Ampà ¨re, after whom the unit of electric current is named. He used the I symbol in formulating  Ampà ¨res force law in 1820.  The notation traveled from France to Great Britain, where it became standard, although at least one journal did not change from using  C  to  I  until 1896. Ohms Law Governing Electrical Current Ohms law states that the current through a conductor between two points is directly  proportional  to the  potential difference  across the two points. Introducing the constant of proportionality, the  resistance, one arrives at the usual mathematical equation that describes this relationship: I=V/R In this relationship,  I  is the current through the conductor in units of  amperes,  V  is the potential difference measured  across  the conductor in units of  volts, and  R  is the  resistance  of the conductor in units of  ohms. More specifically, Ohms law states that the  R  in this relation is constant and is independent of the current. Ohms law is used in electrical engineering for solving circuits. The abbreviations  AC  and  DC  are often used to mean simply  alternating  and  direct, as when they modify  current  or  voltage. These are the two main types of electrical current. Direct Current Direct current (DC) is the unidirectional flow of  electric charge. The  electric charge  flows in a constant direction, distinguishing it from  alternating current  (AC). A  term formerly used  for  direct current  was galvanic current. Direct current is produced by sources such as  batteries,  thermocouples,  solar cells, and commutator-type electric machines of the  dynamo  type. Direct current may flow in a  conductor  such as a wire  but can also flow through  semiconductors,  insulators, or even through a  vacuum  as in  electron or ion beams. Alternating Current In alternating current (AC, also ac), the movement of  electric charge  periodically reverses direction. In  direct current, the flow of electric charge is only in one direction. AC is the form of  electric power  delivered to businesses and residences. The usual  waveform  of an  AC power  circuit is a  sine wave. Certain applications use different waveforms, such as  triangular  or  square waves. Audio  and  radio  signals carried on electrical wires are also examples of alternating current. An important goal in these applications is the  recovery of information encoded (or  modulated) onto the AC signal.