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what enhancements we consider Prozac

Prozac

Classification
Fluoxetine is a legal prescribed medication (Fluoxetine, 2000).  The brand
name of this drug is Prozac (Fluoxetine, 2000).  Fluoxetine belongs in a category of
drugs called selective serotonin prescription (PDR, 2000).  This is a synthetic drug
(Fluoxetine, 2000).reuptake inhibitors (SSRIs) (PDR, 2000).  Prozac is not a
controlled substance but needs a

Usage
Prozac is used as an antidepressant, antiobsessional and antibulimic
medication (Fluoxetine, 2000).  Prozac is presumed to inhibit the reuptake of
serotonin (Fluoxetine, 2000).  In patients with depression it relieves symptoms of
the illness (Fluoxetine, 2000).  For those with bulimia nervosa Prozac was shown to
decrease binge eating and purging when compared to a placebo (Fluoxetine, 2000).
In obsessive-compulsive disorder it significantly reduces the symptoms (Fluoxetine,
2000).  

Usage: Epidemiology
The use of Prozac is so wide spread that since its release over ten years ago
thirty-five million have been prescribed world wide in over one hundred different
countries (PDR, 2000).  Over seventeen million patients have been prescribed
Prozac in the United States alone (PDR, 2000).  Prozac is the worlds most
prescribed antidepressant (PDR, 2000).

Warnings
Allergic reactions have been noted in some patients; these include:  rash,
fever, edema, and carpal tunnel syndrome (Fluoxetine, 2000).  If these reactions
persist and no other cause can be found treatment with Prozac should be
discontinued (Fluoxetine, 2000).  

Precautions
During the clinical trials anxiety and nervousness were reported by ten to
fifteen percent of patients (Fluoxetine, 2000).  Persons already underweight and
depressed showed significant weight loss when on Prozac (Fluoxetine, 2000).
Prozac should be used with caution in patients with convulsive disorders (Flouxinte,
2000).  The possibility of suicide is greater in those patients who are depressed;
therefore Prozac should be administer with supervision to these patients (Fluoxetine,
2000).  This medication should be only given to patients with anorexia nervosa if the
benefits outweigh the risks (Fluoxetine, 2000).  Prozac became the worlds most
prescribed antidepressant herald of its transformative powers (Cash, Brown,
2000).  Among side effects are appetite reduction and weight loss (Cash, Brown,
2000).  In a study of college age women the knowledge of prozacs weight loss
properties increased the likelihood of a woman deciding to try the drug (Cash,
Brown, 2000).  The women said they would choose Prozac regardless of the side
effects if one of the main effects was weight loss (Cash, Brown, 2000).  Womens
perceived notions about being thin outweighed their concerns about the possible
negative side effects of Prozac (Cash, Brown, 2000).  Patients with diabetes may
have altered glycemic rates while on this medication (Fluoxetine, 2000).  I have
found conflicting reports on the use of Prozac and the pregnant woman.  I will give
them both consideration in this report.  The first is information that may be out
dated.  A study was conducted in 1993 to see the outcome of women using Prozac
in their first trimester (Pastustak, 1993).  The study followed 128 pregnant women
who were given a dose of 25 mg per day of Prozac compared to women taking a
placebo (Pastustak, 1993).  The results of the study showed that malformations in
the women who took Prozac were comparable with the women who were given a
placebo (Pastustak, 1993).  The only effect on the expectant mothers that was higher
in Prozac use was an increased risk of miscarriage (Pastustak, 1993).  The
conclusion of the researchers was that Prozac did not have an increased risk of
major malformations (Pastustak, 1993).  There have been no studies to date of the
long term effects of using Prozac on the unborn child (Pastustak, 1993).  The most
recent information is stated next.  Pregnant women should not be prescribed Prozac
unless absolutely necessary, because the effects on the unborn child have not been
discovered (Fluoxetine, 2000).  Lactating women should also avoid Prozac, because
the effects on a newborn child have not been tested thoroughly (Fluoxetine, 2000).
Carl Elliott feels that Prozac changes a persons personality (Degrazia, 2000).
Many people feel that they need Prozac because there are some minor complications
in their lives (Degrazia, 2000).  They feel that if they change or alter their
personality that everything will be all right (Degrazia, 2000).  E. T. Juengst stated in
his book Enabling Human Traits: Ethical and Social Implications (1998 pp.29-47
Washington DC, Georgetown University Press) that many people want
Interventions designed to improve human form to sustain or restructure good
health. (Degrazia, 2000).  Many enhancements are preformed to improve the
human for or function which do not respond to guinuine medical need (Degrazia,
2000).  In Peter Kramers book Listening To Prozac (1993, New York, Viking
Press) he calls Prozac cosmetic psychopharmacology (Degrazia, 2000).  He
describes patients on Prozac who are ... more

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System Development
Introduction to System Development Lifecycle
1. System Development Model
Software development has hit something of a crisis - we fail to deliver software that meets user expectation. However by employing disciplined techniques throughout the development of software and by employing a philosophy of co-ordination, control and management through out the development lifecycle of a software project enhanced standards may be achieved.
The aim is to provide discipline to the development of software - a structured framework against which development takes place is advocated.
A model of the process of systems development is used by organisations to describe their approach to producing computer systems. Traditionally this has been a staged (or phased) approach, known as the System Life Cycle or System Development Life Cycle (SDLC).
An example of a SDLC is given below:
STAGETASKOUTCOMES
Problem DefinitionEstablish what the problem isStatement of requirements
Feasibility StudyEstablish scope & objectives;determine whether project is viableFeasibility study report
AnalysisDefine what constitutes a solution to the problemLogical model of the solution
Outline DesignDetermine ways of solving the problem and choose oneCosting and high level design of the system
Detailed DesignSpecify how the system will be implementedSystem specifications
ImplementationWrite the program & procedures;Install & test systemWorking system & documentation
MaintenanceProvide support & enhancementsWorking system

2. Classical Waterfall
The lifecycle approach is derived from the waterfall model of system development described by Royce in 1970, a simplified version of which is given below:

Classic System Development Lifecycle - Version 1
There are now many variations on the theme of the waterfall model, an alternative is presented below:

Classic System Development Lifecycle - Version 2
Feasibility: Is the project technically, operationally, financially and legally feasible ? The feasibility study is used to determine if the project should get the go-ahead. If the project is to proceed the feasibility study will produce a project plan and budget estimates for the future stages of development.
Analysis: Gather the requirements for the system. This stage include a detailed study of the business needs of the organisation. Options for changing the business process may be considered.
Design: This focuses on high level design (what programs are we going to need and how are they going to interact), low level design (how the individual programs are going to work), interface design (what are the interfaces going to look like) and data design (what data are we going to need).
Implementation: The designs are translated into code. Computer programs may be written using a conventional programming language to a fourth generation language (4GL) or an application generator.
Test: The system is tested. Normally programs are written as a series of individual modules - these should be subject to separate and detailed test. The system is then tested as a whole - the separate modules are brought together and tested as a complete system. The system needs to be tested to ensure that interfaces between modules work (integration testing), the system works on the intended platform and with the expected volume of data (volume testing) and that the system does what the user requires (acceptance/beta testing).
Maintain: Inevitably the system will need maintenance - hopefully we haven't got anything wrong but people will want extra things added or existing things changed over time.
This paradigm is the oldest and most widely used approach to system development, it was developed by Royce in 1970.
2.1 Waterfall Approach Characteristics
Although there are many variations on the theme of the lifecycle, each approach has its own characteristics:
specific activities, techniques and outcomes are associated with each stage;
progression between stages is orderly and proceeds in a linear fashion;
viewed to be a process driven by technicians;
monitoring and control takes place at the end of each stage;
involvement of end users is typically passive and principally in the analysis stage.
The lifecycle model assumes that systems will be constructed from scratch by a team of IS professionals either in-house of within a software house.
Other approaches exist, namely:
those based on alternative lifecycles e.g. prototyping, evolutionary development, spiral model;
those which have a different philosophical basis e.g. soft systems and sociotechnical approaches;
the use of package software to address application areas;
the development of applications by end users.
A number of these alternative approaches will be examined later in the course. However, our ... more

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