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HIV/AIDS has associated cultural and social meanings which shape communication. The disease is closely linked to the concepts of life and death. Antiretroviral therapy (ART) has brought hope and life, but its success is heavily dependent on strict adherence. Research has shown that patients and health professionals often find it difficult to talk about these topics. However, there is little research available which focuses on health professionals' and patients' discussion of ART. This paper thus presents some exploratory discussion of extracts from pharmacy interactions in an HIV context which illustrate how pharmacists talk about antiretrovirals (ARVs) with patients with particular reference to the concepts of life and death. Data are taken from 26 video pharmacist-patient interactions recorded in a South African HIV/AIDS pharmacy. A hybrid qualitative analytic approach enabled identification of three types of references to ART, including the need to take ART "for the rest of your life", ART as "saving your life" and ART as "making you better". Explicit references to death were infrequent. These references were often emphatic and there are several potential reasons for this. The pharmacists' communication appears to be influenced by the urgency of the disease, a desire to give patients hope and a need to "normalise" discussions of death and HIV. The importance of ensuring understanding of ARV dosage instructions and discouraging patients from seeking traditional healing also appears to affect communication. The disease, societal and cultural contexts are thus shown to be significant influences which shape discussions of ART. This study has a number of practical implications, which are discussed.
"Here Comes Treble" is the fifth episode of the ninth season of the American comedy television series The Office. The episode originally aired on NBC on October 25, 2012. It guest stars Stephen Colbert as Andy's college friend Broccoli Rob and Ben Silverman as an investor.
The series depicts the everyday lives of office employees in the Scranton, Pennsylvania branch of the fictional Dunder Mifflin Paper Company. In the episode, Andy Bernard (Ed Helms) invites his old college a cappella group, Here Comes Treble, to perform for the office during Halloween. Andy, however, gets angry when he hears that his college friend Broccoli Rob (Colbert) is telling a different story about the group. Meanwhile, Dwight Schrute (Rainn Wilson), with the help of Nellie Bertram (Catherine Tate) tries to track down a person who is using prescription anxiety pills. Jim (John Krasinski) and Pam Halpert (Jenna Fischer) fight over his new job.
It is Halloween, and Andy Bernard (Ed Helms) invites the latest roster of his Cornell University a cappella group, Here Comes Treble (portrayed by the University of Virginia Hullabahoos), to perform for the office during the Halloween party. He secretly hopes the group will ask him to lead them in a performance of George Michael's "Faith". He becomes increasingly frustrated when the group is not interested in talking about his glory days as part of the group, and upon learning that old bandmate Broccoli Rob (Stephen Colbert) claimed Andy's nickname of "Boner Champ", Andy complains to both Rob, via video chat, and to Erin Hannon (Ellie Kemper). Though Erin sees the situation as trivial, she nonetheless demands that the group sing "Faith" for Andy.
Nellie Bertram (Catherine Tate) dresses up as Toby as her Halloween costume. Toby notices this and becomes flattered, growing feelings for Nellie. He then gives Nellie a bouquet of flowers but is ultimately rejected and fills with anger.
The title is a reference to Andy's a cappella group Here Comes Treble, which had previously been alluded to in the series, but never actually shown. "Here Comes Treble" guest stars Stephen Colbert as Andy's college friend Broccoli Rob. Former NBC Entertainment co-chairman Ben Silverman also guest stars as one of the investors who attends Jim's meeting. With the filming of "Here Comes Treble", the cast began realizing that the show was truly approaching its end. Wilson said, "it's getting real. It's like there's a clock ticking". Helms said that the fact that the episode was the last Halloween installment for the series is "a sad thing".
Michael Tedder of New York felt that the main story was weak and that the "plot line might have made more sense last year, with Andy trying to take his mind off troubles with Erin or Robert California by trying to regress to his college days without it working, but these days Andy is the boss and has the girl." He did, however, compliment the appearance of Colbert, writing that "it was still nice to see the two Daily Show alums sparring again." He was also complimentary towards the "little tidbits", such as Dwight's subplot. Bonnie Stiergnberg of Paste felt that the episode was too rushed and that the storylines did not have a chance to naturally play out. She wrote that, "Each thread provided some interesting character development or set up future storylines, but, crammed together in the same 21 minutes, they made for a slightly disjointed-feeling episode." WhatCulture! reviewer Joseph Kratzer gave the episode two-and-a-half stars out of five and called it the "first dud of the ninth season". He criticized the story, saying that "the plot's failure [is due to the fact that] the goal of the story was not met by the means the writers chose to employ; there was no sense of grand scope or deep-rooted history, just Andy being petty and refusing to let go of the past as he's challenged by his old friend." Kratzer called Dwight and Nellie's subplot the "most successful story" in the episode.
According to The Wall Street Journal, Bayer started putting in the cotton in the early 1900s to keep those powdery pills in place so they wouldn't get knocked around in the bottle and break. That could lead to improper dosage as patients tried to piece broken bits together to form a full pill.
In order to play a Halloween prank on his coworkers, Dwight wears a jack-o'-lantern on his head and succeeds in scaring Erin. When he tries to take it off however he realizes it is stuck! Jim tries to pull it off but it doesn't work. Jim then later demonstrates using a baseball bat and a jack-o'-lantern how he can smash it off Dwight's head, but Dwight runs away in fear. Dwight spends the rest of the day trapped inside it and mentions how it will probably come off in a few months.
As the characters come in they explain their costumes. Pam explains how she is Cinderella since her daughter likes princesses, but she is also a doctor so as to set a positive example for her. Jim explains he is not in costume since he has an investors meeting today.
Meanwhile, Andy is very excited as he has gotten the current members of Here Comes Treble, his former a cappella group at Cornell, to come and perform. Andy tries to act as though he is a hero to them and that he was a singing legend, but much to Andy's annoyance he learns that his old friend Broccoli Rob has claimed credit for Andy's college nickname as well as his signature songs. Erin, while somewhat disgusted at some of Andy's college stories, decides to help him by convincing the a capella members to sing Andy's favorite song in front of the office so Andy can do his signature solo and impress the office staff.
Dwight, feeling a lot of stress lately and still bothered by the fact that Philip was not his baby, asks Nellie if he could get a prescription for "Mose". Nellie, knowing that Dwight really wants them, agrees she can get Dwight a prescription. Toby meanwhile, who seems to have fallen in love with Nellie, realizes that this is only because she is dressed like him and once she takes the wig off, Toby realizes that he is making a mistake.
Taking birth control pills is an effective wayto prevent pregnancy and treat many medical conditions. Since the pill works by introducing different hormones into your system, it can affect your menstrual cycle. Some women may have lighter bleeding, and others may skip their periods entirely. An abnormal lapse in monthly menstruation is called amenorrhea. There are other reasons why you might miss your period while on birth control pills, though.
Although many women take birth control pills to prevent pregnancy, the pills can also be used to help with menstrual issues, such as severe cramps and heavy bleeding. Birth control can even be used to clear up skin problems, such as acne.
The effectiveness of birth control pills is greatly increased with consistent use. In other words, it can be 99 percent effective if you remember to take them at the same time each day and never miss a pill. This also requires that you start your new pack on time each month. If you are ill with diarrhea or vomiting, it can also influence effectiveness. Some medications interfere with the effectiveness of hormonal birth control, as well.
When you miss or skip doses, you may have spotting or irregular bleeding. Since many women end up missing or skipping doses of birth control pills, the overall effectiveness is about 91 to 99 percent.
Birth control pills are incredibly effective at preventing pregnancy with perfect use. Your doctor may be able to prescribe a pill that will work better for your body, depending on your reasons for taking it and any adverse symptoms you have. Talk to your doctor about any issues so you can work together to find the right fit.
Fentanyl is a synthetic opioid that is 50 times more potent than heroin and 100 times more potent than morphine. Just two milligrams of fentanyl, which is equal to 10-15 grains of table salt, is considered a lethal dose. Without laboratory testing, there is no way to know how much fentanyl is concentrated in a pill or powder.
In September 2021, DEA launched the One Pill Can Kill Public Awareness Campaign to educate Americans about the dangers of fake pills. Additional resources for parents and the community can be found on DEA's Fentanyl Awareness page. 781b155fdc