Using the Strengths-Based Model for Social Work Practice...

Utilizing strengths based perspective with clients enables social workers to focus on the client and family strengths and abilities instead of focusing on the client and family’s problems, bad behaviors and pathologies. The strengths based perspective applies six principles that guide the social worker professional in assisting client’s with the strengths based model; we all have areas of strength, but sometimes it takes an unbiased third party to notice and help others clearly see what they are capable of achieving, even in the midst of their crisis. Every Individual, Group, Family and Community Has Strengths Weick (1992) states â€Å"every person has an inherent power that may be characterized as life force, transformational capacity,†¦show more content†¦18). Trauma and Abuse, Illness and Struggle May Be Injurious, but They May also be sources of challenge and opportunity Many people come to social workers with a victim mentality, feeling helpless and without a future based on their past. They have been discouraged, beat down and made to feel broken. Being a victim of abuse, trauma, toxic relationships or a victim of assault are all unfortunate circumstances, but they can be overcome. It may seem like a challenge, but it is possible with assistance and God. As social workers we are to provide client’s who have experienced repeated trauma with support and resources to assist them in their journey to a hopeful life. Painful experiences seem to get the best of us at times, but focusing on the client’s ability to survive these horrific events can give the client just the push they need to see that they are a survivor. Helping the client to realize their own strengths and skills used to overcome their trauma, instead of focusing on the trauma itself, is a powerful way to help clients achieve a positive outcome. Kisthardt (1992) states â€Å"intervention will work best when there is â€Å"an orientation to, and appreciation of, the uniqueness, skills, interests, hopes, and desires of each consumer, rather than a categorical litany of deficits† (p. 60-61). Kaplan and Girard (1994) state â€Å"people will be motivated to change and grow when their strengths areShow MoreRelatedArgumentative Essay : Generalist Social Work Practice1192 Words   |  5 PagesGeneralist Social Work Practice Dating back to the end of the nineteenth century and the beginning of the twentieth century two women who impacted the field of social work and its beginning were Jane Addams and Mary Richmond. These two ladies pioneered something that later became one of the most influential evidence based practices that has helped to bring social justice and social support to communities, individuals, and groups. The area of social work later developed the generalist practice model toRead MoreCognitive Theory And Ego Psychology With Young Domestic Violence Victims1280 Words   |  6 Pagesfrom birth. Originally, in psychoanalytic theory, Freud believed that the ego was â€Å"derived from the need to reconcile drives within the constraints of social living† (Hutchison, 2015, p. 132). Now, ego psychologists view the ego as being present from the time of birth. In comparison to cognitive theory, ego psychologists believe that there are developmental stages in which the ego goes through. While it is true that the ego does not need to be learned in order to be in existence, it does haveRead MoreConceptual Model For Professional Practice1409 Words   |  6 PagesNAME: ___________Adeline Kuwera___________________ NURS 3000 CONCEPTUAL MODEL FOR PROFESSIONAL PRACTICE IN NURSING MID-TERM 30% of grade PURPOSE: To demonstrate an understanding of and use of theoretical nursing models. Using peer-reviewed, on-line and library sources: 1. a.) identify a nursing model not covered in class. (1 point) Patricia Benner s Novice to Expert model Read MoreLeadership As A Problem Solver And People Motivator854 Words   |  4 Pageshow they work together. Conversely, I also have Business Analysts in my title and that is the people leadership part of my job. While reading I found myself thinking that I wanted to be like each new approach in the reading and trying to figure out how it fit me and what I do day-in and day-out. In the end I keep coming back to the Skills Approach. The skills approach describes leadership from the skills perspective. Notedly, things that you can get training on and develop with practice. This approachRead MoreSocial Theories Essay1467 Words   |  6 PagesTask 5: Compare two models of assessment, planning and coordination practice for working with disabled, older people, or a specific group of people. STRENGTH-BASED MODEL The strength based approach is a concept that firmly adheres to the belief that people or groups of people have existing competencies. It is an empowering approach that focuses on the individuals capabilities rather than their disabilities. People are generally seen as able to learn new skills, involved in discovery, have theirRead MoreSocial Perspectives on Juvenile Delinquency Essay903 Words   |  4 Pagesfrom the family values that their parents grew up with and tried to pass along to them but there are many loop holes in the generations of yesterday and today. Although, it is not easy to find the true connection between the practices of early childhood development and the social development better known as the recklessness stages of life. Many children fall victim to their environment and end up being a product of the life they see outside their doorstep. There are many wraparound programs that haveRead MoreThe Ecological Systems Approach Is Encouraging And Facilitating The De velopment Of Positive Emotional And Affiliation Supports1715 Words   |  7 Pagestheir social service agency. An underlying principle of social work is the pursuit of social justice and the use of systems theory is congruent with this value as it highlights systemic inequalities. I will consequently understand that this family has to maneuver between complex and at times conflicting systems. Thompson (2014) highlights the issue that much of the discrimination and marginalisation that individuals face is generally a result of social circumstances. He would agree that social interactionRead MoreMy Goals As A Social Worker Practitioner1737 Words   |  7 Pagesthe constructed nature of reality and the need for collaborative relationships between client and social worker/therapist. Social workers that use postmodern approach examine socio cultural issues such as how client problems and beliefs become socially constructed, the need for empowerment of marginalized clients, the politic al nature of therapy, and a need for social justice. As a healthcare social worker working with multicultural population it is important to understand how the culture play aRead MoreTreatment Models Chosen For Comparison1241 Words   |  5 Pages Treatment Models Chosen for Comparison 1. Narrative Therapy the role of the therapist, views of people and their problems, and the approach for helping. Narrative therapy is a way to look at a person’s life story and their struggles from an outside looking in approach. The problems become separate from the individual. Narrative therapy helps the client examine their life story from a strengths perspective. Instead of focusing on the problems the worker helps the client identify their strengthsRead MoreThe Theories And Interventions That Can Be Applied For The Srs s Cps Program1393 Words   |  6 PagesIn considering this case and within the social work profession, there are many theories and interventions that can be applied to the SRS’s CPS program including: contingency, conflict resolution, organizational, systems, and empowerment theories. These theories do not operate alone, instead they are combined with one another. The conflict resolution theoretical approach will be utilized through the task-centered model with evidence of NASW’s Code of Ethics, because this is specific to this case.

Dow Pbb Free Essays

Dow Chemical By Kai Draaisma Laurens de Blij Diedrik Oost Eva Sloff Lesley Flohil 13-11-2012 Duisenberg School of Finance Executive summary 1. Summary of Facts. With an annual revenue of $20. We will write a custom essay sample on Dow Pbb or any similar topic only for you Order Now 2 billion Dow held the leading market position worldwide in ethylene and polyethylene (exhibit 1b). To consolidate all of Bahia Blanca’s polyethylene activity under Dow’s control a three-stage plan was developed. The first stage involved taking control of PBB, the second stage involved acquiring Polisur’s two polyethylene plants, and the third stage involved building a new ethylene cracker. To determine a proper risk premium Dow had to consider possible country risks. Currency and government policy risk may have had an impact because of possible future crises and changing government policies relevant to foreign investments. Furthermore, because of the ending of the convertibility law Dow also had to consider a possible exchange-rate risk. Dow created a holding company, Dow Investment Argentina, to invest in the project, then they had to decide whether they will use general corporate funds or raise debt for the PBB bid. 2. Statement of problem . 1General analysis Rational for Acquisition of PBB Dow Chemical’s corporate strategy is to look for horizontal- and vertical integration, achieve technological leadership and gain international presence. Dow will benefit from a more integrated production process by lowering their cost of production. PBB will also create stable supplies of ethane for Dow allowing them to achieve operating rates near 100%. Cracking ethane in the region will result in lower operating risk for Dow meaning the supply/input risk for the production of Polyethylene. An increase in the production output of Dow will allow them to benefit from economies of scale. Overall Dow will gain technology leadership and operational excellence from adding PBB to their company and enhance them with a costleader position in the market required to compete with the government-subsidized chemical complexes. Risk measurement In this section we provide a brief risk analysis. Table 1 is designed to give a compact overview of the different risks, possible mitigating actions and whether the risks are integrated in the cash flow or discount rate. Not every risk was applicable in the acquisition of PBB. The risk that influenced our cash flows the most is the currency risk caused by a possible liquidity crisis in Argentina. Argentina has experienced eight major currency crises (tijd/reference)and there is a risk of a new currency crisis in the future. When this happens, Dow will not be able to sell its output to the home country and will have to increase its export. Revenue de We have also taken into account that the convertibility law that now provides stability could eventually stop. This will also have a significant impact on inflation. Operating risk is the second risk with a large impact on projected cash flows. This is mostly the risk of not meeting the full operating capacity. For the first 3 years we keep the operating rate of the plant at 65% and from 1995 we increase the operating rate by 5% each year. Other risks had less of an impact on our cash flows. Information risk was less of an issue because Dow was already present in Argentina and PBB was important to the government of Argentina. Corporate Governance risk in Argentina is not expected to have a significant additional impact on cash flows. This risk is already included in the discount rate for similar projects in the US. Table 1: Risk overview| Risk| Mitigating actions| Cash Flow (CF) or Discount rate (DR)| Corruption risk| 1. Have a large bank loan from a national bank. 2. Government stake of 49% here is a mitigating factor | DR| Expropriation risk| Same actions as for corruption risk| CF (tax wil increase 5%)| Operating risk (only post/ completion risks )| n/a| CF| Sovereign risk| Through the convertibility law, the peso has been anchored to the USD to prevent hyperinflation. | DR| Currency/ Foreign exchange risk| 1. Dow is a well diversified investor, therefore this should be mitigated. 2. Buy put options on the Arg peso. | CF| Corporate Governance risk| Give shares to management to align incentives. | DR| Repatriation risk| Current political climate is stable, not likely that Arg will impose limits on fund outflows. | DR| Information Risk| Dow Chemical already has presence in Argentina, therefore are more likely to receive high quality information. | n/a| Adjusted discount rate All risks that are not used for adjusting cash flows are integrated in the adjusted discount rate. These risks include but are not limited to corruption risk, information risk, hyperinflation, sovereign risk, repatriation risk and other residual risks. These risks are partly mitigated, however all the different risks combined constitute a premium which we will add on to the the given discount rate for similar projects in the US of 8%-10%. A reasonable assumption for the combined premium will be [ ]. The auumed premium results in a discount rate of [ ] which we will use in our further valuation. 4. Recommendation Bidding decision Competing bidders need to comply with certain covenants (exhibit 6). Competitors Perez Companc S. A. and Copesul do not comply with the requirements of having a statement of net worth of at least 5 billion. Even if the two companies would merge they do not meet the the requirements. This makes Dow the sole bidder for PBB. This has a profound impact on the internal valuation. Appendix 1 Risk Information risk. When you are doing a cross-border valuation you have to take into account that there may be information risk. This includes the risk of outside investors getting the wrong information because of poor disclosure in the financial statements. However since Dow entered Argentina in 1957 we assume they are familiar with the market and accounting rules, therefore information risk for this project is low as Dow chemical has already collected country experience in Argentina via Dow Quimica. Because this is difficult to quantify we have taken this into account in our discount rate. Corruptionrisk. The risk of corruption includes the illegal payments and favors outside the rule of law. Corruption exists to some extent in all countries, but there are large differences across countries. According to the Global Corruption Index by Transparancy international, the level of corruption for Argentina in 1995 was given a 5. 24 out of a possible score of 10. This gave them a ranking of 24 out of 42 countries surveyed. All of which were assumed to be developed countries. However, Dow somehow secured itself thanks to PBB’s importance and the Argentine government’s intention to keeps 49% which is an advantage and not a disadvantage. The Argentine government will also appreciate the jobs being created in the later project stages, if successful, and a good relationship with the government willlikely also be beneficial when discussing with YPF about long-term ethane supply. Mitigation: Part of this risk can be mitigated by taking a loan in Argentina to finance the project as the government will not want Dow to default on their debt resulting in an overall bad outcome for Argentina’s economic situation. Furthermore part of this risk is mitigated as the government has a stake in the company so it is also in their interest to keep the company strong. Currency risk: As Argentina has experienced 8 major currency crises in the past there is the risk of a new currency crisis occuring in the future. Even though the convertibility law took away some of the risk, Dow will still have to bear in mind that when a crises happen, they will not be able to sell their output to the home country and will have to increase its export. This risk is taken into account in the cashflows. Expropriation risk. Political instability or expropriation is small as they company has had a stable democratic government past 12 years. However, changes in the policy of the government will cause a risk for Dow and their foreign investments. At that moment there were no restrictions on borrowing abroad and there were no limits imposed on payments of foreign loan principal and interest. If something changes in this regulations it may have an effect on the acquisition of Dow. For this reason we will also include this risk in our discount rate. Furthermore the government has no limits on cash flows going out of their country but can eventually decide to do so. We consider the risk of the government taking over the company to be low as the production of polyethylene and deriving ethylene from hydrocarbon crackers is complex. This is a process for skilled people and not just anyone can therefore run the company properly. The risk of expropriation is therefore low. As the production of ethylene and derivatives such as polythylene is a highly complicated process, requiring large captial investment and a high operating leverage, not many companies will be able and willing to take over the business. Furthermore as Polythylene is a commodity product that trades globally with a narrow price range. Mitigation:Dow can decrease the risk exposure by taking on a loan in Argentina to finance their project. This will decrease the risk exposure as Dow can only default on their debt when the government decides to raise taxes, which will not lead to a company default. Foreign Exchange Rate Risk. Foreign Exhange rate risk will be low because of Dow Chemical’s international presence and the assumption that shareholders are sufficiently diversified. The convertibility law which ensured a fixed Argentine peso and U. S. dollar at exactly one already decrease the foreign exchange rate risk. However we need to take into account the risk that the convertibility law might come to an end. Mitigation: The risk can be decreased by setting up binding financial contracts with the governmetn to make sure the deal will happen. Furthermore Dow could decide to place a put option on the peso to protect themselves when the peso collapses. Operating risk Pre-completion: as the project is already completed there is no risk concerning the technology risks or other completion risk. Post-completion: we have included the post-completion risk in our cashflows as we run the risk of not meeting the full operating capacity. For the first 3 years we keep the operating rate of the plant at 65% and from 1995 we increase the operating rate by 5% each year. As the company provides their own input this risk does not need to be taken into account. Operating risk would likely matter but we handled that risk by adjsuting down our casfhlows in stage 1 so we do not take it into account for adjusting our cost of capital Sovereign risk Politcal events suchs as wars, labor strikes, terrorism and changes in laws can happen in any country you work with and therefore needs to be taken into account. Since it is hard to quantify this risk we have handled it through the discount rate. Appendix 2 | | Source: Erb, Harvey Viskanta, ‘Poltical risk,Economic risk and Financial risk’, Fuqua School of Business Working Paper No. 9606, 1996. | ——————————————– [ 1 ]. For broader explanation of the different risks see Appendix 1 [ 2 ]. According to the Global Corruption Index by Transparancy international the level of corruption for Argentina in 1995 was given a 5. 24 out of a possible score of 10. This gave them a ranking of 24 out of 42 countries surveyed. All of which were developed countries more or less. Source: http://archive. transparency. org/policy_research/surveys_indices/cpi/previous_cpi [ 3 ]. See Appendix 1 for an explanation of the mitigating factors of the before mentioned risks [ 4 ]. This conclusion was reached byTaking the ‘total assets’ as net worth on the financial statements of Perez on Copesul (exhibit 8a 8b). How to cite Dow Pbb, Essay examples

Management of Menopause Symptoms Samples †MyAssignmenthelp.com

Question: Discuss about the Management of Menopause Symptoms. Answer: Introduction Menopause is an aeging process and typically occurs in both men and women at approximately 49-52 years of age. Male menopause is the more commonly referred to as andropause. The term is generally used to describe male hormonal changes that are related to increasing age. The condition is also known as late-onset hypogonadism or androgen deficiency. It involves a drop in testosterone production (Cunningham, 2013). On the other hand, the cessation of menstrual periods in females is referred to as menopause. It involves loss of follicles from the ovary (Murphy et al., 2013). This condition can also arise due to surgical removal of ovaries. The follicles present in the ovary lose their capability to respond to the secretion of follicle stimulating hormone (FSH). A particular population survey conducted in the United Arab Emirates showed that the 48 years was the mean age for incidence of natural menopause, and it was lower than the mean age observed among people living in the West (Hamid et al., 2014). Another study showed that women living in the UAE reported less severity and fewer symptoms of menopause than women living in the western countries (Hamid et al., 2014).The assignment will illustrate the observable signs and symptoms of menopause, the data from several laboratory studies and the various treatment or interventions used to prevent its occurrence. It will further illustrate the future nursing implications to treat this condition in clinical settings. Therefore, it will help in providing a deeper understanding of the services that need to be employed to treat menopause and promote the holistic wellbeing of the target population. Symptoms Menopause is considered as a natural change. The periods generally become irregular before the incidence of menopause. The most common symptoms are observed in the form of vasomotor symptoms orhot flashes that last from 30 seconds to 10 minutes. The hot flashes are often associated with sweating, shivering,and reddening of skin, and are reported by more than 80% of women experiencing menopause. Other observable symptoms includetrouble in sleeping, sexual difficulties, vaginal dryness, itching, urine leakage, decreased libido, and mood changes (Altaweel Alharbi, 2012). Menopause increases the likelihood of getting affected with atherosclerosis and acute myocardial infarction. Some of the common risk factors that contribute to the condition are hypertension, tobacco smoking, increased body weight and increasedblood lipids. The risk for osteoporosis andosteopenia also rises (Topatan Y?ld?z, 2012). Hormonal fluctuations give rise to several psychological changes like irritability, mood swings, increasing anxiety, poor memory and lack of concentration. The UAE census conducted in 2010 reported that there were 468,888 Emirati women of whom 83,784 were from Dubai. At least 50% of the population was female (222,875). The census reports revealed that life expectancy is 39.4 years at 45 49 years and 34.4 years at 50 54 years (Dsc.gov.ae, 2017). Thus, it can be deduced that women live one-third of their lives beyond the incidence of menopause. Diagnosis People are often advised to undergo the Follicle-stimulating hormone test is by doctors to assess the levels of estrogen and FSH. An increase in FSH levels and decrease in estrogen levels are generally observed. The Greene Climateric Scale is aquestionnairetool used byto study menopausesymptoms. Furthermore, doctors often test for lipid profile, where an abnormal increase in low density lipoproteins (LDL) and decrease in high density lipoproteins (HDL) show an elevated risk of cardiovascular diseases. Performing thyroid function tests exclude the occurrence of thyroid diseases because they share some common symptoms with menopause. Swabs are used to check pH levels of the vagina. This is due to the fact that vaginal pH levels increase to 6 during menopause (Panda et al., 2014). Treatment Hormone replacement therapy (HRT) is used as the standard treatment for menopause. This therapy is used to control to the psychological, vasomotor and urogenital irregularities, and osteoporosis. The routes of administration of this therapy are subcutaneous, oral, intravaginal, transdermal and intrauterine. It is most effective in treating hot flashes. However, the risks of blood clots and stroke increase upon its use (Fantasia Sutherland, 2014). The therapy has also proved effective in treating osteoporoticfracture and bone loss. Moreover, there is a concern that this therapy can increase incidence of ovarian cancer, breast cancer and cardiovascular disease among postmenopausal women. The symptoms associated with menopause are also treated by acupuncture. Results from a randomized controlled pilot study also showed that Chinese herbal medicine and acupuncture were successful in reducing hot flushes and improving quality of life among postmenopausal women (Nedeljkovic et al., 2014). Recent studies provide evidence for the use of selective serotonin reuptake inhibitors to treat menopause symptoms. A systemic review conducted in Saudi Arabia reported improvements in vasomotor symptoms and severity of hot flashes with the use of SSRI such as, fluoxetine and venlafaxine (Shams et al., 2014). Some of the commonly used GABA analogs to treat hot flashes are pregabalin and gabapentin (Imai et al., 2013). The effects of yoga on menopausal symptoms were demonstrated by a randomized controlled trial that showed improvement of menopause related insomnia symptoms among women who practiced yoga for 12 weeks (Newton et al., 2014). Prevention and lifestyle modifications- Natural menopause cannot be prevented. However, certain lifestyle changes can be adopted that can delay onset of early menopause. Factors such as, high intake of dietary fat, smoking, high cholesterol, and caffeine consumption accelerate the onset of the physiological phenomenon. Hence, there should be a reduction in alcohol and cigarette consumption and women should consume food rich in calcium and vitamin D to avoid occurrence of menopause related osteoporosis. Balanced diet, regular exercise and maintenance of body weight will also help to prevent the incidence of cardiovascular disorders (Gold et al., 2013). A reduction in alcohol consumption also helps to reduce hot flashes and disturbances in sleep patterns. Nursing assistance Nurses, working in menopause clinics play a vital role in informing women about menopause symptoms and its management.. Nurses are responsible for assisting women to understand the potential health implications of menopause management. They formulate and lead several specialist menopause services and works towards ensuring that the services produce good patient outcomes (Sewerynek et al., 2013). It is of utmost importance to allow the patients to express their attitude and feelings about menopause. Nurses are involved in taking consultations that include psychological, physical and historical assessments. Referrals and counselling are taken by them to advise patients on complementary therapies and lifestyle modifications that will optimize long-term health outcomes. Their role requires them to encourage patients to exercise for 30 minutes, thrice a week. They also assist the patients to maintain a healthy diet rich in fresh vegetables, fruits and whole grains. Patients are advised to consume food that is low in fatty acid content. Conclusion In conclusion, it can be stated that menopause is a physiological event that occurs among all aging population. However its symptoms and degree of impact on the quality of life vary among individuals. There are several environmental and lifestyle factors that can affect that age of onset of menopause. Most common symptoms are observed in the form of physical and psychological changes. Hot flashes are most commonly seen. One of the widely prevalent management techniques is hormone replacement therapy, in addition to use of SSRI. Future recommendations These include conduction of educational sessions that provides adequate information on the age of onset, symptoms, risk factors, management and lifestyle changes to cope with menopause. Psychological assessments will help in considering and addressing individual needs. Group discussion will also provide assistance to people to discuss on their experiences, negative emotions and coping strategies related to menopause. Thus, it can be concluded that nurses play an essential role in screening women for menopause symptoms and teaching them the different management options. References Altaweel, W., Alharbi, M. (2012). Urinary incontinence: prevalence, risk factors, and impact on health related quality of life in Saudi women.Neurourology and urodynamics,31(5), 642-645. Cunningham, G. (2013). Andropause or male menopause? Rationale for testosterone replacement therapy in older men with low testosterone levels.Endocrine Practice,19(5), 847-852. Dsc.gov.ae. (2017).Home.Dsc.gov.ae. Retrieved 3 November 2017, from https://www.dsc.gov.ae/en-us Fantasia, H. C., Sutherland, M. A. (2014). Hormone therapy for the management of menopause symptoms.Journal of Obstetric, Gynecologic, Neonatal Nursing,43(2), 226-235. Gold, E. B., Crawford, S. L., Avis, N. E., Crandall, C. J., Matthews, K. A., Waetjen, L. E., ... Harlow, S. D. (2013). Factors related to age at natural menopause: longitudinal analyses from SWAN.American journal of epidemiology,178(1), 70-83. Hamid, S., Al-Ghufli, F. R., Raeesi, H. A., Al-Dhufairi, K. M., Al-Dhaheri, N. S., Al-Maskari, F., ... Shah, S. M. (2014). Womens knowledge, attitude and practice towards menopause and hormone replacement therapy: a facility based study in Al-Ain, United Arab Emirates.Journal of Ayub Medical College Abbottabad,26(4), 448-54. Imai, A., Matsunami, K., Takagi, H., Ichigo, S. (2013). New generation nonhormonal management for hot flashes.Gynecological Endocrinology,29(1), 63-66. Murphy, M. M., Verjee, M. A., Bener, A., Gerber, L. M. (2013). The hopeless age? A qualitative exploration of the experience of menopause in Arab women in Qatar.Climacteric,16(5), 550-554. Nedeljkovic, M., Tian, L., Ji, P., Dglon-Fischer, A., Stute, P., Ocon, E., ... Ausfeld-Hafter, B. (2014). Effects of acupuncture and Chinese herbal medicine (Zhi Mu 14) on hot flushes and quality of life in postmenopausal women: results of a four-arm randomized controlled pilot trial.Menopause,21(1), 15-24. Newton, K. M., Reed, S. D., Guthrie, K. A., Sherman, K. J., Booth-LaForce, C., Caan, B., ... Cohen, L. S. (2014). Efficacy of yoga for vasomotor symptoms: a randomized controlled trial.Menopause (New York, NY),21(4), 339. Panda, S., Das, A., Santa Singh, A., Pala, S. (2014). Vaginal pH: A marker for menopause.Journal of mid-life health,5(1), 34. Sewerynek, E., Horst-Sikorska, H., St?pie?-K?os, W., Antkowiak, A., Janik, M., Cie?lak, K., ... Stuss, M. (2013). The role of counselling and other factors in compliance of postmenopausal osteoporotic patients to alendronate 70 therapy.Archives of medical science: AMS,9(2), 288. Shams, T., Firwana, B., Habib, F., Alshahrani, A., AlNouh, B., Murad, M. H., Ferwana, M. (2014). SSRIs for hot flashes: a systematic review and meta-analysis of randomized trials.Journal of general internal medicine,29(1), 204-213. Topatan, S., Y?ld?z, H. (2012). Symptoms experienced by women who enter into natural and surgical menopause and their relation to sexual functions.Health care for women international,33(6), 525-539.