Froebel Kindergarten Essay

Freidrich W. A. Froebel is best known as the founder of kindergarten. He was a German educationalist. Froebel was born in 1782 in a village in Germany. His childhood was difficult because his mother died when he was a baby and his father abandoned him. Froebel was given to his uncle’s care. Between 1808-1810 he attended the training institute run by John Pestalozzi at Yverdon. Froebel left the institution accepting the basic principles of Pestalozzi’s theory: permissive school atmosphere, emphasis on nature, and the object lesson. Froebel, however, was a strong idealist whose view of education was closely related to religion. He believed that everything in this world was developed according to the plan of God. He felt that something was missing in Pestalozzi’s theory: the â€Å"spiritual mechanism† that, according to Froebel, was the foundation of early learning. Froebel’s philosophy of education rested on four basic ideas: free self-expression, creativity, social participation, and motor expression. Froebel began to focus on the needs of children just prior to entering school. He envisioned a place attended by 4-6 year olds where children would be nurtured and protected from outside influences—like plants in a garden. Froebel decided to call his school kindergarten, which in German means â€Å"child garden. † Froebel began a training institute for the teachers of his schools. He believed that teachers should be highly respected people with values that the children should imitate. The teacher should also be a sensitive, open, and easily approachable person. Froebel’s first kindergarten was founded in 1837 in Blakenburg Germany. It featured games, play, songs, stories, and crafts to stimulate imagination and develop physical and motor skills. The materials in the room were divided into two categories: â€Å"gifts† and â€Å"occupations. † Gifts were objects that were fixed in form such as blocks. The purpose was that in playing with the object the child would learn the underlying concept represented by the object. Occupations allowed more freedom and consisted of things that children could shape and manipulate such as clay, sand, beads, string etc. There was an underlying symbolic meaning in all that was done. Even clean up time was seen as â€Å"a final concrete reminder to the child of God’s plan for moral and social order. † In 1848, the Prussian government ordered these schools to be closed because they did not agree with Froebel’s ideas. Then Froebel died in 1852, not knowing the impact his work would have on the U. S. school system. Then many Germans immigrated to the United States after the German Revolution. Among them were women trained in the Froebel system of education. It was these women who were responsible for bringing kindergarten to the United States. The first U. S. kindergarten was for German immigrant children in Wisconsin and taught in German. Then in 1873 kindergarten was introduced in the public American schools. Freidrich Froebel’s ideas provided the major direction for kindergarten curriculum during the last half of the nineteenth century. Many of his ideas can still be observed in kindergarten today: learning through play, group games, goal oriented activities, and outdoor time. Now applying Froebel’s philosophy of education to the Bahamas. From the National Task Force on Education (1994) Final report. This was stated about Pre-Schools. PICTURE. But yes we do have active kindergartens in many schools. I know for sure on the island of Eleuthera there is the kindergarten section in all of the primary schools. But upon my research I found that there are kindergarten sections in only a few schools here in New Providence. Example: The Bahamas Academy School. Here is a quick look at their curriculum. Then there is one in Yellow Elder Gardens and Elizabeth Estates. REPORTING TODAY FROM THE EDUCATIONAL CHANNEL, I’M VASHTE’ NAIRN.

The Teen Pregnancy

Teen pregnancy wasn't always a problem. Even a hundred years ago, men and women married and started their families young: life expectancy was far shorter than it is today; school wasn't nearly as important or widely available; and young families conformed to the established social norm. However, today in the developed world, teen pregnancy is a problem that causes a wide range of social and economic problems. The United States leads the developed world in teen pregnancies, with over twice as many per year as Great Britain or Canada, four times as many as France, and ten times as many as Japan or the Netherlands (Popenoe). As many as 34% of all teenage girls become pregnant at least once before they are 20 years old, resulting in an astounding rate of 820,000 pregnancies a year. Nearly all of those pregnancies are out of wedlock and unwanted and so about half of those pregnancies result in abortion. Poverty and race are correlated with teen pregnancy, too, as teen mothers are more likely to be poor and remain poor if they start a family. Teen mothers are unlikely to finish high school: fewer than one-third of teen mothers receive their degree and a mere 1. 5% receive a college degree before they are 30 (â€Å"The National Campaign To Prevent Teen Pregnancy†). Additionally, teenage pregnancies frequently result in short- and long-term health problems for both mother and child. Long-term social effects include the perpetuation of poverty and the weakening of the economic muscle of the nation; clearly something must be done to prevent teen pregnancy in the United States. Many people believe mistakenly believe that sex education and birth control distribution will solve the epidemic of teen pregnancy. The underlying message is that if the birth control methods and education fails, then at least the teen can have an abortion to prevent starting a family. Sex education focuses on safe sex: the proper use of birth control devices including prophylactics and hormonal contraceptives. Barrier birth control devices like condoms can prevent sexually-transmitted diseases as well as pregnancies. Many schools, community and health centers distribute condoms for free to encourage teens to practice safe sex. The birth control approach to teen pregnancy is based on an assumption that teenagers are going to have sex no matter what, because sex is a natural biological instinct or because of peer pressure. By teaching safe sex, teachers and parents feel that at least they are minimizing the chances of causing a pregnancy or spreading a sexually transmitted disease. Sex education also eliminates the need to address the complex moral and psychological issues associated with teen pregnancy: issues that are controversial politically and difficult to discuss. In spite of the rationale behind the prophylactic approach to teen pregnancy, distributing birth control freely to teenagers will fail to solve the epidemic and in fact contributes to the problem of teen pregnancy. Telling teens that they should use birth control and then handing them birth control devices is frankly condoning and even encouraging premarital teen sex. The practice is irresponsible and irrational, because teen pregnancies are far more common now than they were in the 1960s, when birth control and sex education were not a part of the school curriculum. Moreover, sex education starts at a young age, in many cases before the young person is even interested in having sex, increasing the likelihood of misunderstanding, misinterpreting, or misapplying the information. In many cases students do not pay attention either. Contrary to what many people believe, teenagers in the modern industrialized world do not have the mental or emotional maturity to understand the ramifications of sexual intercourse. In the old days, teens married young and their pregnancies usually occurred within wedlock and in a socially-sanctioned setting. Now, teen pregnancies lead to social and economic problems. Furthermore, all birth control devices fail occasionally and many are difficult to use properly by adults, let alone inexperienced teens. At least half of all teen pregnancies result in abortion, which many teens begin to view as a form of backup birth control. The emphasis on birth control and sex education compound the underlying moral degeneracy that causes teen pregnancy in the United States, contributing to racial, gender, and social inequity, to poverty as to the denigration of life. Teaching abstinence is the only meaningful way to reduce teen pregnancy because teaching abstinence addresses the root causes of the problem and provides an effective long-term solution. Abstinence is not a religious idea or a superstitious idea; abstinence is a practical solution to a serious problem. Parents and teachers should teach abstinence first, before they teach children about birth control. Teaching abstinence now won't be easy because teens expect to have sex and because the media targeted at teens reinforces a view that having sex is normal, cool, and healthy. A message of abstinence goes against what teens see on television so many teens as well as adults may resist the idea. The idea of abstinence may be linked to religious beliefs and therefore many will construe the teaching as being biased. It's not biased. Teaching abstinence is a universal, practical, simple way to prevent teen pregnancies and the concurrent health, social, and economic problems that go along with it. Teaching abstinence requires a two-fold plan. First, abstinence must be taught from an early age, in school and at home. Second, abstinence teaching must be continued throughout junior and high school and reinforced through community messages and outreach. Teaching abstinence from an early age ensures that the individual will develop an emotional and cognitive framework that will last through their lives. When taught from an early age, abstinence becomes the norm, replacing sexual promiscuity or experimentation as the norm. Teaching abstinence at a young age, from late elementary school, is inexpensive and easy, requiring no special materials or funding. The education does not need to be presented from a religious perspective, but young students should learn about the moral and social ramifications of pregnancy so that they can independently choose abstinence when they reach puberty. Abstinence is a preventative teaching that must be reinforced throughout the pre-teen and teen years. Because they are influenced heavily by the media and by their peers, teenagers must receive continual guidance and support, and regular exposure to the message of abstinence. Therefore, abstinence education must continue into junior high and high school, if not in a formal class setting than through posters, pamphlets, and other accessible material. Parents must also participate by regularly talking to their teenage children, asking them questions about their social life, answering the teen's questions as honestly and frankly as possible. Basically, abstinence must become a state of mind, a new social norm. Reducing the alarming and embarrassingly high rate of American teen pregnancies requires not a more aggressive birth control campaign but a more systematic abstinence campaign. If we fail to teach abstinence soon, from an early age, and systematically, then teen pregnancies will continue to plague young American women, contributing to social and economic injustice as well as widespread health issues. All Americans can see the negative of teen pregnancy; it is a problem shared by all of us and therefore all of us are responsible for changing the underlying social norms that contribute to the problem and promoting abstinence.

Nobody Is Perfect Essay

A man and his girlfriend got married in a large celebration. All of their friends and family came to see the lovely ceremony. The bride was gorgeous in her white wedding gown and the groom was very dashing in his black suit. Everyone could tell that the love they had for each other was true. A few months later, the wife comes to the husband with a proposal: â€Å"I read in a magazine, a while ago, about â€Å"How can we strengthen our marriage† she offered. Each of us will write a list of the things that we find a bit annoying with the other person. Then, we can talk about how we can fix them together and make our lives happier together.† The husband agreed, so each of them went to a separate room in the house and thought of the things that annoyed them about the other. They thought about this question for the rest of the day and wrote down what they came up with. The next morning, at the breakfast table, they decided that they would go over their lists. â€Å"I’ll start,† offered the wife. She took out her list. It had many items on it enough to fill 3 pages, in fact. As she started reading the list of the little annoyances, she noticed that tears were starting to appear in her husband’s eyes. â€Å"What’s wrong?†She asked. â€Å"Nothing† the husband replied, â€Å"keep reading your lists.† The wife continued to read until she had read all three pages to her husband. She neatly placed her list on the table and folded her hands over top of it. â€Å"Now, you read your list and then we’ll talk about the things on both of our lists.† She said happily. Quietly the husband stated, â€Å"I don’t have anything on my list. I think that you are perfect the way that you are. I don’t want you to change anything for me. You are lovely and wonderful and I wouldn’t want to try and change anything about you.† The wife, touched by his honesty and the depth of his love for her and his acceptance of her, turned her head and wept. LEARNING 1 In life, there are enough times when we are disappointed, depressed and annoyed. We don’t really have to go looking for them. We have a wonderful world that is full of beauty, light and promise. Why waste time in this world looking for the bad, disappointing or annoying when we can look around us, and see the amazing things before us?

Rhetoical analysis Essay Example | Topics and Well Written Essays - 500 words

Rhetoical analysis - Essay Example The author uses rhetorical techniques of logos, facts, and analogy, to effectively convince the readers, and make them aware of the limitations of the embryonic stem cells in human use. The author uses analogy as a strategy of making the readers relate to the issue she is addressing. In this case, Swenson has referred to The Emperor’s New Clothes, a fairy tale by Hans Christian Andersen, which she knows is quite popular among the audience. This is about an emperor, who considered that his clothes were the best, compared to those of other people. He therefore, goes in public to display his new clothing, yet this was an imaginary instance in his mind. In reality, he had nothing on, and a child notices this and acknowledges it. Swenson uses this scenario to link with the case of the scientists working on the embryonic stem cell. He wants to make his audience to understand that, the whole embryonic stem cell project by scientists is in vain, imaginary, and likened to a fairy tale, just like the emperor’s imaginary valuable clothes. By using analogy, he compares the scientific project and the emperor’s incidence, as having similar outcomes, which is false hope. This ensures that this comparison remains memorable among the audience, thus making it easy for them to relate with (Swenson WEB). Secondly, the author uses evidence or support, to back her argument in the issue. This helps to make the audience consider the argument as having a solid ground. Swenson uses different forms of evidence to support her argument. For instance, she directs the audience to a website that will provide them with more information about the success of adult stem cells and cord blood treatments in treatment of many types of conditions. This supports her argument that only adult stem cell and cord blood treatment are successful in curing various conditions, and not the embryonic stem cell. She also revisits other incidences where embryonic stem cells failed to

Business Emails Essay Example | Topics and Well Written Essays - 750 words

Business Emails - Essay Example I know that if I have had this experience, you must also have other stores that are in the same situation. I would even be willing to help share the cost of producing the catalog. Well Jack, think about this proposal. As I said, your product is second to none but we need to give the customer greater access to it. A full line catalog will increase my sales significantly and I'm not opposed to standing part of the expense of having a catalog printed. Let me know what decision you come to as soon as you can. We are entering our busy season and it would be good to move on this as soon as possible. When we entered into a contract for you to supply our store with custom made desks, we were guaranteed 8 weeks delivery. However, the last 2 orders took 12 weeks to get to the customer. There were several phone calls from you requesting more detailed information from the customer and each time the delivery was further delayed. This has caused problems for our customer and has reflected negatively upon our store and our sales staff. When the desks arrived, they were of excellent quality and there were no complaints on the product, but the late delivery and installation caused my customers to reschedule other design work that was pending. Please understand that there was a pe... We do not wish to enforce that clause at this time. We would prefer to have the product delivered as promised. I suggest we design a specification sheet that is more detailed than the one we currently use. Our staff can get all the information you need on their first customer contact. I understand that your custom made department is difficult to schedule and we have taken that into account. Again, we like your product and wish to continue to use your company to fill that customer need. We simply need to get the desks to our customers as promised to maintain our relationship with them. Please contact me as soon as possible to design a more complete order form. I look forward to hearing from you and working with you in the future. To: MEllington@Notmail.com From: TMartin@Thefurniturebarn.com Subject: Country of Origin May 17, 2007 Ms. Ellington, We have been purchasing fabric for our commercial office furniture for several years and have had few complaints. We recently noticed that some of the fabrics in your catalog were not exactly as labeled. For example, we purchased an Italian fabric for a customer and it was marked as 'Made in Indonesia'. I understand the use of the word 'Italian' may have a generic meaning, but our clients do not perceive it that way. To better inform our customers, I would like to get a country of origin list for your fabrics. I know this will take you some time to put together, but it would greatly aid our commercial clients in making a fabric decision. In addition, it could be used as a sales tool by offering the customer additional information about their custom made furniture. Please get back to me as soon as you can and let me know if there is anything that I can do to help you compile the list. If you could get me the

Case study Example | Topics and Well Written Essays - 750 words - 27

Case Study Example due to the selfishness of the security manager who only thinks about his well-being while sabotaging the interest of the minors who have little say in the case. The case gives a personal view on how the managers should tackle issues like fraud, lateness, theft in business and companies that contribute heavily to the fall of most prestigious business in the world today. All supervisors should uphold the behavior of being fair, honest and loyal. Loyalty requires that the supervisors respect the fellow workers at the same time honoring the goals of a company. Honesty is a tribute that all organizations seek when recruiting new employees. Lack of this virtue can lead to a total downfall of company. In a business there is always a procedure followed when an employee is suspected of committing a crime or for behaving unethically. Firstly, the supervisor gathers all the evidence and puts it in form of records. The information gathered should be solid and not biased. In this case the supervisor has failed the first step since she is becoming judgmental with no records to base her arguments. The second step involves challenging the employee using the evidence. This helps create an argument that can be followed in a particular manner because the supervisor has procedural question due to the previous evidence. This questionnaire also makes the supervisor be in a position to control his emotions because he or she is confident and sure of the queries he makes. Thirdly, the supervisor is required to follow the business disciplinary procedure. If the two processes already mentioned points out that the employee is innocent then the case can be dismissed and alternative solution sought. Finally, if the process goes well then the supervisor should look out for the factors that contribute to all these incidences (Parboteeah & Cullen, #2). For this case, the issue leading to theft can be poor payments that contribute to temptation in order to fully meet the financial needs. In

THE THINGS THEY CARRIED Essay Example | Topics and Well Written Essays - 1000 words

THE THINGS THEY CARRIED - Essay Example The characters of the story are foot soldiers of Alpha Company which is serving in Vietnam and is commanded by First Lieutenant Jimmy Cross. The basic theme of the story is the tangible and intangible items carried by the soldiers in Vietnam War and the effect they have on their personalities during the war. The story revolves around Lieutenant Cross, his feelings for his college crush and the death of fellow soldier Ted Lavender. Interestingly, the narrator of the story, O’Brien, who himself is a soldier of Alpha Company differentiates the other soldiers by the things which they carry. â€Å"They carried the sky. The whole atmosphere, they carried it, the humidity, the monsoons, the stink of fungus and decay, all of it, they carried gravity† (O'Brien 14). All the soldiers carry basic fighting supplies e.g. guns, ammunition and ponchos, which can be wrapped around their bodies if they die. However, more importantly, they carry many other personal items. In Army’s slang, carrying of goods by the soldiers is known as â€Å"humping†. According to O’Brien, all the soldiers hump many different things in order to satisfy their emotional bonds or feelings. One of the soldiers carries an illustrated edition of bible, another wears the stocking of his girlfriend around his neckline, yet another man carries a slingshot, another condoms and another some funny comic books. Alpha Company soldiers carry a host of physical items in Vietnam in order to ward off emotional liabilities. According to O’Brien, one such liability is the requirement of soldiers to deal with the apprehensions of reality and fantasy. The consciousness of this apprehension creates a lot of emotional problems for First Lieutenant Cross during his stay with the company. Cross believes that he was so preoccupied with the memories of his college crush Martha and the dreams of life they might spend after war that he had become negligent. â€Å"†¦.and Martha wor e a tweed skirt, and during the final scene, when he touched her knee†¦.† (O’Brien 4). He therefore, blames himself and his negligent attitude towards his men for the death of Ted Lavender’s, a low ranking soldier of the company. If the readers consider the story as a clash between war and love, then most certainly, the death of Ted Lavender and consequent cynicism of Lieutenant Cross suggest success of war in this clash. The story unfolds the doubts and gloominess that the war brings on the nature of the soldiers. Such gloominess and pessimism can be seen in the character of Cross who blames himself for the death of Ted Lavender. Prior to Ted’s death, Cross was completely engrossed in the memories of Martha and remains gripped by most petty matters e.g whether Martha is a virgin or why does she sign the letter with the word â€Å"Love†. However, after Ted’s death, when he decides that it was due to his preoccupation and distractions cau sed by the thoughts of Martha, he expresses his emotions and anger with the only possible manner; by burning the pictures and letters of Martha, in an endeavor to disassociate himself with the what he sees as the root cause of his negligence and a negative force. By the end of the story, Cross concludes that it is far better to be loved by someone than to lead troops in war, which shows exactly how war and the death of a subordinate had disturbed his mental balance. The emotional liabilities which the soldiers of Alpha Company face are magnified by their inexperience in war and young age. Most of the soldiers who fought in Vietnam were in their early twenties; some even in late teens. Before coming for war, they were

Performance Enhancing Drugs in Sports Essay Example | Topics and Well Written Essays - 1500 words

Performance Enhancing Drugs in Sports - Essay Example The drama of performance on world scene is so overpowering that athletes sometime fall in the controversy of doping (use of performance enhancing drugs) in sports. A winning athlete is the star of the public eye just as a politician, musician or a literary figure and their image is a delicate balance training, character and publicity. When athlete resorts to taking performance enhancing drugs, they not only hurt themselves but in turn set in motion a chain of events that destroys the sport each time a new case surfaces. The controversy which has been built around athletic doping or use of performance enhancing drug to maximize sport performance can be traced back to 490 BC in the legendary marathon run by Feidipides, which made him a superhero at the cost of his life (Savulescu, et al. 2004). Performance enhancing drugs has been reported to be used even since the Greeks started the Olympics in 776 BC. Olympic athletes were believed to have used herbs and mushrooms in an attempt to improve their performance. However, it was not until the early 19th century that the problem became a menace to the sport. Today, the thrust for winning is so high that there are reports that performance-enhancing drugs have been used in college, high school and junior high/middle school athletics around the world (Kidsource OnLine, 1996). The desire to outperform the other competitors at any cost is so demanding. The performance oriented athletics with result at its core is fuelled by different levels of drugs which enhance shot-term and long-term performance. The progress in technology offers greater lure to administering different levels of biological intervention. ... The progress in technology offers greater lure to administering different levels of biological intervention. The health and the fitness should be the core of rational judgment rather than emotional euphoria of success. The use of doping takes away the human element of ethics and honesty in sports. An athlete stoops down to the level of an animal with no reason, choice or judgment. Some of the performance-enhancing drugs are dangerous; they have multitude physical, mental and emotional side effects ranging from short-term to long-term. Anabolic steroids are associated are associated with a range of side effects, including heart attacks and liver cancer. Some doping substances are permitted in low doses like alcohol and caffeine. Another form of doping is blood doping either by blood transfusion or use of the hormone erythropoietin. In recent times tetrahydrogestrinone(THG) and modafinil are causing controversy throughout the sporting world. The number and variety of drugs use by athletes are rather alarming. Substances used as ergogenic aids are meant to primarily increase size, endurance and strength of the athletes. Performance increasing drugs also include beta-adrenoceptor blockers and beta-adre noceptor agonists, calcium-channel blockers, diuretics, growth hormone and growth hormone stimulants, non-steroidal anti-inflammatory drugs, iron, theophylline and in some situations, vitamins (Lajis, N.D.). These substances used to boost athletic performance, increase strength and improve appearance present a serious health risk. Use of enhancement drugs violates athlete's autonomy. Besides, such illegal acts questions their confidence, morals, ethics and takes away

How to Prevent and Reduce Stress at Cleeve Link Essay

How to Prevent and Reduce Stress at Cleeve Link - Essay Example The main findings of the research are that in Cleeve Hill staffs have been identified five categories of substantive factors that can be identified as potential cause of work-related stress: quantitative and qualitative demands, autonomy and Control, employee involvement in organisational changes, relations at work (including support from colleagues and line managements), role of the employee. This paper declares that notably in some organizations, many tasks are added to a single job description making it barely for any employee to perform without being stressed. In such circumstances, the employees find themselves with heavy workloads, infrequent work breaks, long working hours and or little shift turnover. According to Friedman, a philosopher who investigated the optimum conditions that a human being would be most productive in performing some tasks advocated that human beings perform more efficiently under less duress. Different organizations have different forms of leadership depending on their nature or objectives. However, the major management can be categorised into two main categories namely democratic and autocratic. Democratic leaders employ a bureaucratic approach to leadership ensuring that organizational decisions are made in line with the opinion of all employees. On the contrary, autocratic leaders act on their own; any decision affecting an organization is left in the hands of the top management. In line with this, the manner in which decisions are made in organizations affect employees directly.

Reflective Manager Essay Example | Topics and Well Written Essays - 2250 words

Reflective Manager - Essay Example they can bring change in the business operations and by their support to the management they will be able to enhance the productivity of the organisation. In order to make a learning organisation, it is the responsibility of management and employees of the organisation to divert their focus from reflective practitioner at individual level to reflective form of organisation (Hoyrup, 2004). In the last couple of years, many researchers have conducted studies on the role of reflection and reflective practices in the organisation’s performance; some studies have focused on the theories of such practices (Amulya, 2003, Brockbank & McGill, 2007, Frook et al., 2007 and Svensson et al., 2008) while some have studied their implications in various forms of organisations (Confer et al., 2010, Deakin, 2012, Drefyus & Drefyus, 2005, Finlay, 2008, Greener, 2008, Vince & Saleem, 2004, Walsh, 2010). However, the most extensive works have been done by Vince (2005) and Walsh (2010) who has focussed on the traditional and modern ways for implications of reflection and reflective practices in all types of organisations that are working in distinctive fields. Hence, it is rightly stated by Walsh (2009) that it is crucial for the management and managers of the organisation to equip themselves with the various forms of reflective practices that are happening in the real world and make changes in their organisations so that they are compatible with the latest market trends and the structure supports the format required for organisational learning. The researchers have been unable to give exact definition of the term ‘Reflection’ as it is composed of numerous concepts. The primary aim of reflection is to help the thinkers do critical analysis of the situations or problems that are being encountered in the organisations. The managers are encouraged to identify the problem areas, think about the remedial situations available and then select and implement the strategy alongwith

Hybrid electric vehicle Essay Example for Free

Hybrid electric vehicle Essay BMS is a key component of electric vehicles and hybrid vehicles. To ensure safe and reliable operation of batteries, BMS needs to have various functions such as battery status monitoring and assessment, charging and discharging control, balancing and so forth. The fire accidents of electric vehicles (particularly pure electric vehicles) since 2013 result in consumers’ concerns about the safety of electric vehicles. Compared with HEV, PHEV and BEV have more complex battery system structure, which requires more excellent battery endurance and safety; therefore, PHEV and BEV need more mature and reliable BMS. The BMS industry will benefit from the expansion of the electric vehicle market. Throughout the global BMS market, traditional auto parts makers represented by Denso and Preh have seized opportunities by virtue of their important positions in the vehicle supply chain. As Toyota’s most important parts supplier, Denso has provided battery management modules for Prius, Camry Hybrid and other models. Preh mainly offers BMS for BMW I series pure electric vehicles. View Complete Report @ http://www. chinamarketresearchreports. com/114890. html . Meanwhile, the battery vendor LGC has established cooperative relationship with GM, Ford, Volvo and many other enterprises by providing power battery packs and related BMS to them. As for automobile companies, Tesla performs remarkably with advanced BMS technology. In contrast, professional BMS firms develop relatively slower due to technical and financial factors. In the first half of 2014, China produced 20,692 new energy vehicles and sold 20,477 ones, higher than the figures in 2013. In 2015, Chinese new energy vehicle market capacity will be quickly released, especially plug-in hybrid electric vehicles and mini pure electric vehicles will witness faster growth, which will drive the rapid development of the Chinese BMS market. In the Chinese BMS market, there are three types of enterprises: First, third-party BMS vendors, such as Epower Electronics, GuanTuo Power and LIGOO New Energy Technology. Among them, the products of Epower Electronics are used most widely and adopted by Changan, Dongfeng, BAIC, Foton, JAC, Zotye and so on. China Market Research Reports 1 Second, battery system packaging companies represented by Guoxuan High-tech and Winston Battery. Guoxuan High-tech serves JAC and Ankai Automobile with battery modules and BMS. Third, vehicle manufacturers, including BYD and BAIC BJEV. BYD integrates batteries and BMS with electric vehicle R D, and shows advantages in terms of cost and efficiency. Overall, China BMS industry still lags behind foreign countries in technical specifications and business models. To narrow the gap, some companies hope to make progress by mergers and acquisitions. For example, BAIC BJEV enhances battery system performance and technological strength via the cooperation with SK, Atieva and other enterprises; Zotye meets its demand for BMS by holding Jieneng; Desai masters some share of Epower Electronics in order to upgrade its technology from consumer electronics to electric vehicle BMS. Purchase a Copy of this Report @ http://www. chinamarketresearchreports. com/contacts/purchase. php? name=114890 . The report includes: †¢Overview of global and Chinese electric vehicle market (including overview, market size, output, sales volume, etc. ) †¢Overview of global and China BMS industry (embracing status quo, forecast, market size, BMS supporting, etc. ) †¢Major vendors in global BMS industry (involving revenue, revenue of subsidiaries, revenue structure, net income, R D, products, supporting for vehicle plants, latest developments, business in China, etc. ) †¢Major vendors in China BMS industry (comprising revenue, revenue of subsidiaries, revenue structure, net income, R D, products, supporting for vehicle plants, new projects, etc. ) †¢Main enterprises in BMS chip industry (including revenue, revenue structure, net income, BMS chip solutions, etc. ) Table of Contents 1 Overview of BMS 1. 1 Definition of Battery System 1. 2 Definition of BMS. 1. 2. 1 Definition 1. 2. 2 Classification 2 Overview of Global BMS Market 2. 1 Overview of Global Electric Vehicle Market 2. 2 Status Quo and Development Trend of Global BMS Market China Market Research Reports 2 3 Overview of Chinese BMS Market 3. 1 Production and Sales Volume of Chinese Electric Vehicle Market 3. 2 Chinese BMS Market Size 3. 3 Status Quo and Development Trend of Chinese BMS Market Explore All Market Intelligence Research Reports on Automotive Transportation For Further Information Contact [emailprotected] com . China Market Research Reports S.

Pilot fatigue as a causal factor in aviation accidents Essay Example for Free

Pilot fatigue as a causal factor in aviation accidents Essay This paper aims to delve into the processes and effects of pilot fatigue and its role as a causal factor in aviation accidents. Pilot fatigue as a term is hard to define since different kind of people feel it in different ways and in certain degrees. For the purpose of this paper, however, we will define pilot fatigue as a state of mental and physical exhaustion resulting in a decrease in the ability to perform and maintain activities. The paper will examine the causes of pilot fatigue, its effect to pilot performance in the aircraft and its role in causing aviation accidents. The feeling of fatigue is usually associated with two factors; lack of sleep and disruption of the body’s normal circadian rhythm. The occurrence of one or both usually results in a feeling of sleepiness, tiredness and exhaustion. One of the most essential functions in the human body is sleep. Sleep is the main way by which the body receives rest and enables it to resume activities after wakening. The effects of sleep have been almost based mostly on the results felt with and without it. Generally, having the proper amount of sleep, about 6-8 hours, results in a feeling of well being and freshness. Sleep loss means the time getting less sleep than what is required by the body to perform functions effectively upon awakening. The amount of sleep one needs to perform effectively varies per person, with some needing eight hours while others can simply make do with four. If one needs only 4 hours, and he only sleeps two, two hours of sleep loss occurs. The first night of sleep loss may or may not have a perceptible impact on work activities but after cumulative sleep losses, the impact also increases. Sleep is one of the various body processes regulated by our circadian rhythm. The circadian rhythm deals with regulating processes based on cycles of night and day. When one alters the circadian rhythm, it disrupts the body’s natural cycle of rest and sleep. (Sanquist, Raby, Forsythe, Carvalhais, 1997) Fatigue effects are generally the body’s way of attempting to get some rest. These include drowsiness, lapsing in and out of sleep, reduced alertness and muscle coordination, loss of concentration and spotty memory. A fatigued person has sluggish movements, slow reaction times and a tendency to lose focus of the task at hand. Graver is the tendency to become unconscious for brief periods of time, neglecting whatever action at hand. (Conway, Mode, Berman, Martin, Hill, 2005) In pilots, any one of these could lead to disaster. However, when a combination of them occurs, the risks rise dramatically. (Caldwell, 2005) Being a pilot exposes one to situations that result in fatigue. The schedule takes it toll. The paperwork and checks that a pilot has to undergo before the flight proper results in stress. However, it is the flight itself which is the main factor for fatigue in pilots. The long flights leave a pilot almost no time for rest, much less sleep. The banality of looking at controls aids in boring the pilot. Also, the travel of the plane may take it across one or more flight zones. One of the main indicators in the circadian rhythm is daylight. Taking a trip across time zones exposes the pilot to varying amounts of daylight in a single day. This is what’s properly known as jet lag. (Petrie, Powell, Broadbent, 2004) A fatigued pilot may find it easy to succumb to the effects of fatigue during a flight. Bourgeois-Bougrine, Carbon, Gounelle, Mollard, Coblentz, 2003) The cabin pressure, the dim lights, the monotonous sounds, all this have the potential to lure a tired pilot to sleep. Although resting periods are prescribed during flight, no relaxing sleep is derived from them. (Samel, Vejvoda, Maass, 2004) Pilots may also succumb to boredom fatigue, when their tasks become dull and monotonous. (Caldwell, 2001) Whatever discipline or training a pilot may have, it is no much to the needs of the body. It is true that as a pilot, one must be at peak alertness and performance. The effect of fatigue disrupts this and would logically lead to a disturbance in pilot activities. Once airborne, pilots must be vigilant in maintaining airspeed, altitude, pitch and course. In landing, they must be sure of themselves and their movements when banking, controlling the flaps and lowering the wheels. (Raymond Moser, 1995) Fatigue can make a pilot fail in any one of these tasks. This can cause aviation accidents. (Goode, 2003) However, data on the subject cannot empirically say what role fatigue plays. The effects of fatigue may be causative to accidents, but these effects can be induced by other means. There have been many cases where pilot error was cited to be the cause of the crash. However the reasons behind those errors may or may not be due to fatigue. Also, even with a fatigued pilot, it is possible to avoid incidents. (Goode, 2003)Co-pilots are in place not just to assist, but when necessary, take over a pilot. Although no empirical data supports fatigue as a major cause of aviation incidents, the fact that it can lead to such events have led aviation industry officials to take precautionary measures to prevent as well as minimize the effect of fatigue and the risks it entails to both passenger and crew. Guidelines regarding scheduling, medication and on air conduct are aimed to reduce pilot fatigue and boredom. (Conway et al. , 2004) Ensuring that the pilot is rested and is free from fatigue does not ensure an incident-free flight, but it does minimize the risks that the effects of fatigue could lead to disaster. (Smith Mason, 2001) Research Log The first step that I did was to identify the topic. I chose fatigue in pilots and its role in accidents since I have often looked up to pilots and wishes to know what happens when they are fatigued when flying. I researched materials relevant to my topic, from books I had to the internet. I began my paper by clearly stating what I wanted to express,as to avoid confusion and backtracking by the reader. The definition of terms was next to aid the reader in digesting the paper. The body consisted of a cause, effect and then role format. I presented the causes with the desire to impress upon the reader that fatigue happens to any one and everyone. I then enumerated the effects of fatigue to show how such a common event can lead to many risks. Next, particular focus was given to the pilots and their susceptibility to conditions leading to fatigue and conducive to its effects. Afterwards, I expressed that the effects of fatigue in pilots can lead to accidents. However, I refrained from directly pressing the role of fatigue since no data supports it directly. I used the effect of fatigue to show that since A causes B, then C which is caused by B is indirectly related to A. Afterwards, I wrapped up the paper with the measures being taken to prevent fatigue as well as a brief concluding statement.

The Effects Of Social Isolation Nursing Essay

The Effects Of Social Isolation Nursing Essay A 60 years old female XYZ patient was admitted in hospital with organic brain syndrome two years ago. She is still hospitalized. My first interaction with patient was when I entered her room, she told me to get out. In second interaction as I tried to talk to her, she listened to me only for two minutes but didnt answer me and instructed her care-taker to tell me to leave the room. My further attempts at interaction with the patient would result in conversations not lasting 2-4 minutes and then she would remove herself to a place where no one would bother her. Most of the time, she kept herself in her room and become aggressive when someone tried to take her outside. She couldnt concentrate on one thing more than 2 minutes. Her major symptoms were short attention span, impaired recent memory and poor judgment. In three weeks rotation I have found she was reluctant to talk with others. She felt more comfortable when no one disturbed her. Initially she was very strongly guarded but very gradually as I worked with her, things began to improve. I made small interventions to make her socialize, such as, every day I took her outside and asked her to greet the health care professionals etc. The end result of these little efforts was very positive. The health care professionals noticed a discernable change in her behavior. Now this patient greets others and responds more positively. The Doctor said she showed very positive improvements and recommended these interventions should be continued. The concept which came in my mind and very perceptibly I have found in my patient was social isolation. According to Nicholas R, Nicholson Jr. (2009) Social isolation is suggested, state in which the individual lacks a sense of belonging socially, lacks engagement with others, has a minimal number of social contacts and they are deficient in fulfilling and quality relationships(p.1346). Social isolation is a social condition that leaves significant effects on psychological well-being and physical health, with the costs of these conditions particularly higher among old and mentally ill patients. According to Havens et al. cited by Nicholas R Nicholson Jr. (2009) Psychological barriers such as decline in cognition, poor or altered mental healthà ¢Ã¢â€š ¬Ã‚ ¦ factor that lead to social isolation (p.1346). If I relate the concept with my patient she likes to live alone, unable to share her life experiences, lack of belongingness with others, unable to do her activity daily living and these all were because of her cognitive impairment and low concentrate level which leads her towards social isolation in her. Many factors which leads to social isolation. In Pakistan, gradually we are loosing our traditional values, social bonds like family and neighborhood. With changing socio-economic and cultural conditions, we witness the emergence of nuclear families living separately rather than the traditional extended families living together. Literature on social isolation is not available about our country but I have found the South Asian Article (New Delhi India). Indian culture is similar to ours and we can easily relate their findings to our context. Age Well Foundation (2010) stated that Ever-changing socio-economic scenario of the country has resulted in emergence popularity of nuclear family à ¢Ã¢â€š ¬Ã‚ ¦they felt themselves completely isolated and alone (p.21). According to Age Well Foundation (2010) In urban areas 39.1% older persons were reported isolated socially as well as emotionally (p.09). In late age certain human faculties become enfeebled. For instance cognitive impairment, physical frailty, restricted ability for social interaction. If this is accompanied with social isolation, the chances of depression occurring are much increased. If the situation continues, the person is caught in a downward spiral where social isolation and depression feed on each other, and the person becomes deprived of the ability to conduct social interaction. According to Draper cited by Heather L. Menne et al. (2009) left untreated depression and depressive symptoms à ¢Ã¢â€š ¬Ã‚ ¦ intensified problems with cognitive processing (p.554). According to Amin A. Gadit M. (2010) Among the mental illnesses, depression 22.9%prevalence of depression among elderly (p.03). Chronic illnesses, the death of friends and loved ones and feelings of social isolation can add up to social isolation in older adults. According to Ather M Taqui et al. The prevalence of depression in the elderly in our study was 19.5% (p.04). They also mentioned the cause of depression was nuclear family and due to less social interaction with family, elderly suffer from depression. Stigmatization towards mental illness is very common, which make mentally ill patients socially isolated more. Zahid, J. et al. (2006) stated The younger respondents felt that people with schizophrenia, depression and drug abuse are dangerousà ¢Ã¢â€š ¬Ã‚ ¦ more likely to blame people with drug abuse problems for their drug use (p.57). Care-taker perceptions towards old age people and for mentally ill patients are also contributing factor towards social isolation. According to Baltes and Smith quoted by Graeme Hawthorne (2006) It is a stereotype of later life that there is a network of loneliness, social isolation and neglect (p.522). During my mental health clinical, I observed that care-takers think that if they fulfill the patients physical needs, give them medicine on time, this is more than sufficient. Their attitudes toward old age was as they are very old, there is no hope for them to cure from mental illness. The same thing was happened with my own patient. Her care-takers perceptions were now my patient is very old and you dont need to make any efforts because since two years I am with her but there are no positive improvements. Roys Adaption Model (Roy Andrews 1999) is one conceptual and theoretical model in nursing with which social isolation fits well. In this model she focused on four modes of adaptation, physiologic-physical, Self-concept, Role function and Interdependence Mode. If human declines in one mode it has specific affects on physical and mental health. According to Nicholas R, Nicholson Jr. (2008) Being socially isolated can be conceptualized as having ineffective self-concept or Interdependence mode responses à ¢Ã¢â€š ¬Ã‚ ¦ the person has failed to adapt and this is manifested by being socially isolated (p.1349). Through this model a nurse can observe the behavior of the person is adaptive or maladaptive. Self-concept mode focused on psychological and spiritual sense of integrity and purpose of living in the universe. When someone looses sense of psychological well being, has no purpose of life, unconcerned with others, this makes a person socially isolated. Cognitive impairment is the major cause which interferes in this mode and the person feels helpless to adapt this mode effectively and goes into social isolation. Interdependence mode deals with human relationships with others, their purpose, structures and how it grows individually and in a group. When a person fails to adapt this mode appropriately and shows less concern towards close relations, or a persons loved ones show less concern toward the person it makes the person socially isolated. Social isolation has strong connection with mental illness. Social isolation and cognitive impairment go side by side. According to Ellis and Hickie cited by Graeme Hawthorne (2006) In addition there are associations between social isolation and mental illnessà ¢Ã¢â€š ¬Ã‚ ¦ premature death (p.522). My patient was socially isolated due to impaired cognitive abilities, short attention span and impaired recent and immediate memory. Older people need more concentration and care as I relate the above with my patient, she was 60 years old and struggling to remember recent events and concentrate on one point. When she failed to do these tasks which hinder her communication and daily activities, this made her more agitated and led to social isolation. In old age cognitive impairment decline daily activities, loss of interest in social interaction, face difficulties to express their own feelings and to understand others ideas. All these things also play a significant role in social isolation. According Van Oostrom cited by Graeme Hawthorne (2006) Related to difficulties with mild cognitive impairmentà ¢Ã¢â€š ¬Ã‚ ¦partner loss and institutionalization (p.522). Research conducted on social isolation has identified many different factors that might contribute to social isolation in older adults, Physical environment factors such as place of residence, geographic distance from family or friends. According to Kaneda cited by Barratt J. (2007) In developing countries growing numbers of older à ¢Ã¢â€š ¬Ã‚ ¦isolation bereft of the traditional environment of an extended family (p.02). In the light of literature, my patient was dependent on the care-taker in hospital although she fulfills her physical needs but I never observed her encourage the patient to mingle with others. In my view this was also one of the causes for her social isolation. Maintaining relationships and participating in social activities have been associated with improved memory and intelligence in the elderly. There are many strategies which as a nurse we can develop to take out a person from isolation. Studies found that educational and social activity, group interventions that target specific groups of people can alleviate social isolation among older people. Patient assessment I have covered in the scenario. I had planned strategies at the individual, family, group and institutional level. But I just got a chance to implement on the individual and institutional level. Strategies for individual: I worked on her short attention span and on social isolation. Initially I asked her to come out from the room, we would take a round in corridor. She refused but gradually she accepted. I made her friend of the other staff, explored her life achievements and acknowledged it in front of other staff; made her sit in the garden and in the television room, Every day I took her outside and encouraged her greet the health care professionals. I involved her in occupational therapy although out of eight days occupational therapy sessions she only attended three sessions and only in the last session she sat for as long as ten minutes and talked with doctor and answered the questions appropriately. I asked her the old admitted patients names and she could recall most of their names. I encouraged her to sit and talk to them. I tried to involve her in a daily routine, like, to decide what she would like to wear next day and to ensure to brush her teeth and wash her face herself. I think to involve the socially isolated patient in her daily routine is the best technique to take them out from their condition. I gave her the opportunity for decision making, such as I wanted to talk to her and where would she want to sit and for how long could we sit together. As a result, it made her talk and use her cognitive ability. I asked her about her interests. She told me, she liked to recite her religious verses and Nat I asked her to recite in the occupational therapy session. There everybody acknowledged her and she was encouraged to talk about herself. She said she had performed Hajj with her husband and now my husband is not alive. I tried to involve her in drawing but for this she strictly refused me, but asked me to write down the name of Allah. She promises to color it but later on she refused. On a group level, I tried to engage her in group activities but due to time constraint, I was not able to implement. I was planned to involve her in psycho education and in cognitive behavioral therapy, group discussions with set agendas, exercises group to promote physical activity. It was also difficult for my patient to cope at that time, but I believe if I could stay longer with her or at least go every week on clinical rather than alternate weeks, I could achieve this task as well. We can involve them in occupational therapy sessions and make a play group where they can play small native games. According to Dana A Glie, et al. (2005) elderly non demented subjects found that participating in cognitively stimulating leisure activities (e.g. playing board games) protected against development of dementia (p.865). My patient was interested in reciting the Quran and if she recites in a group it make her socialize with others and women who are gathered there can share their interests as well. According to Andersson cited by Cattan M. (2005) (1) found that among small groups of older women who lived alone and who discussed health-related topics, significantly reduced loneliness and increased social contact, self-esteem and participation in organized activities was found. (p.05) Family can also follow the above individual level strategies which I had done with my, if person lives at home. They can give appropriate time to them, involve them in their discussion. As a nurse I could conduct teaching on patient disease process and on social isolation with family and teach them how to deal with the isolated patients. At institutional level we can conduct the workshops, seminars, can make nurses group who entirely deal with isolated patient, provide more information on social isolation in different disease. Attendant nurse teaching should be conducted because they should also know the reasons; consequences of social isolation. I have conducted the teaching on social isolation and on major symptoms of my patient disease which leads to social isolation with two attendant nurses (N/A). At community level we can make community support group for old people, plan activities which they can do easily. Initially when I start reading this topic my understanding about it, was very limited. I thought loneliness and isolation are the same topic but as I read more about it I have found loneliness is purely a persons own feeling and even though a person who involves in a group or sits in a group can go through the loneliness feelings. Whereas social isolation is with-drawl from surrounding, a person has no concern with others. Before dealing with this patient I felt that to approach this patient was very difficult because this patient was not only mentally ill but also isolated and would not let others interact with her. Gradually I started and noticed the difference. Social isolation in older people is very common and it leaves its great impact on mental health. It does not only impair the cognitive ability, it also declines the daily activities. As a nurse it is our responsibility to deal these patients with endurance, educate the family and care takers to overcome the physical and mental health problems. I also learnt that there is a great contribution of care-takers to make patient socially isolated and if we as a care-taker take a responsibility to give them psychological support and treat them according to their capacity they can also spend a normal life or even we can prevent them from deteriorating.

Can Sikhism continue to exist without the Guru Granth Sahib? Essay exam

Can Sikhism continue to exist without the Guru Granth Sahib? The Guru Granth Sahib is the active living Guru of the Sikhs: a long text with 1430 pages, compiled and composed during the period of Sikh gurus, from 1469 to 1708. A collection of 5,894 hymns and 1430 pages, the Guru Granth Sahib describes the qualities of God and why you should meditate on God’s name. The hymns are arranged into 31 ragas, which are musical groupings. Every copy of the Guru Granth Sahib has an identical layout of pages. The Guru Granth Sahib was declared as Guru Gobind Singh’s (1666-1708) successor, by himself. It is the holy scripture of the Sikhs and is regarded as the teachings of the ten Gurus, as well as treated like as a sovereign living Guru. The Guru Granth Sahib has a pivotal role in Sikh worship, as a source or guide of prayer; and it in many ways defines Sikhism: outlining all of the laws, rules and ideas of it. It is written in the GurmukhÄ « script, in various dialects – including Lehndi Punjabi, Braj Bhasha, Khariboli, Sanskrit an d Persian – often merged under the broad title of Sant Bhasha. There are approximately 20 million followers worldwide of Sikhism, most of whom live in the Punjab province of India: a state in the northwest of India. The 2001 census recorded 336,000 Sikhs living in the UK. In this essay I am going to examine information surrounding the Guru, and I am going to analyse whether Sikhism could exist without it, and come to a conclusion that it could not. Firstly, I am going to look at the history of the Guru Granth Sahib. During the Guruship of Guru Nanak (1469-1539) collections of his hymns were compiled and sent to Sikh communities for use in worship. Guru Nanak wrote 974 published hymns. His successor, Guru Anga... ... a guide or leader, it is Sikhism. It embodies every aspect of it and contains the teachings of those who created Sikhism and lead it. So, in a nutshell, the Guru Granth Sahib is the gateway to Sikhism and the religion could not exist or function without it. Works Cited http://en.wikipedia.org/wiki/Guru_Granth_Sahib http://www.bbc.co.uk/schools/gcsebitesize/rs/god/sikhrevelationrev3.shtml http://www.sikhs.org/art11.htm http://esikhs.com/ http://www.vam.ac.uk/vastatic/microsites/1162_sikhs/sikhism/sikhism.htm http://sikhism.about.com/od/gurugranthsahib/p/Guru_Granth.htm http://www.time4truth.com/sikhism.htm http://atheism.about.com/library/FAQs/sikh/blfaq_sikh_india.htm http://www.allaboutsikhs.com/sikhism-articles/sikhism-and-contemporary-problems-of-religious-philosophy http://www.alislam.org/egazette/updates/sri-guru-granth-sahib-a-brief-history/

Free Essay on Eating Disorder - Eating Disorders :: Exploratory Essays Research Papers

Eating Disorders It seems like every little girl dreams of becoming a model. They want to be thin and pretty like the models they see on television and in magazines. Often the desire becomes an obsession and young girls see "thinness" as being a needed characteristic. For many girls, the teenage years are spent trying to acquire this look. Females are trying diets and are exercising like it is a competition to see who can lose the most weight the quickest. The obsession of many young girls over their appearance or weight has led to a growing number of people who have developed an eating disorder to try to deal with their lack of self-esteem or other related problems. Eating disorders are a serious health problem. Personal Counseling & Resources says that eating disorders "are characterized by a focus on body shape, weight, fat, food, and perfectionism and by feelings of powerlessness and low self-esteem." Three of the most common eating disorders are anorexia nervosa, bulimia nervosa, and binge eating or compulsive eating disorder. According to Anorexia Nervosa and Related Eating Disorders, a person with anorexia "refuses to maintain normal body weight for age and height" and "weighs 85 percent or less than what is what is expected for age and height." A person diagnosed with bulimia has several ways of getting rid of the calories such as binge eating, vomiting, laxative misuse, exercising, or fasting. The person might have a normal weight for their age and height unless anorexia is present. The signs of a compulsive eater include eating meals frequently, rapidly, and secretly. This person might also snack and nibble all day long . The compulsive eater tends to have a history of diet failures and may be depressed or obese (Anred.com). There are many reasons that can contribute to the cause of eating disorders. One of the main reasons seems to be the obsession over every little pound a person is wearing. Sometimes low self-esteem or depression from any number of causes can usher in the eating disorder. Other times compulsive exercising can help shed the pounds but leave the enthused unhealthy looking. There are other possible causes to this widely known health problem.

Essay --

Study has identified the attachment patterns as secure, anxious/preoccupied and avoidant in children. These attachment patterns can have a positive or negative impact on the quality of their future romantic relationships. Romantic relationship quality is one of the most important relationships in adulthood. When individuals fall in love their attachment style is already in place and operating. An understanding of adult attachment is important to begin to understand the effects of attachment patterns on relationships. It contributes significantly to a personal well-being. Based on children’s behaviors during their mother’s presence, absence, and return patterns; attachment styles may also be transfer to the romantic partner during adult relationships (Feldman, 2011). Both children and adults feel anxious when separated from their attachment figures are nearby. Adult romantic attachment relationships are made clear by proximity-seeking, safe haven and secure base. (Brumbaugh, Fraley, Heffernan, & Vicary, 2012). Seeking proximity with their romantic partners may be useless and avoidant people may try to keep a distance from others and remain independent. Romantic partners are overly sensitive to proximity of their partners and signs as a possible threat. Individuals work extremely hard to maintain closeness with their romantic partner and have exaggerated negative emotions when they fail to do so. Adult attachment patterns are the foundation of individuals understanding and expectations about relationships and directs their social interactions. Anxiety and avoidance attachments are two of the most common factors in romantic relationships. Anxious attachments is describe by the desire to be close with others a... ...m to maintain the relationship. Adolescents with avoidant and anxious attachment patterns have a greater conflict in opposite sex relationships (Miga, Hare, Allen, & Manning, 2010). Attachment theory is used to predict if single individuals out of a group would date or enter a committed romantic relationship in the future. Anxious individuals showed eagerness to commit and fall in love with a romantic partner. Avoidant attached individuals were shy about commitment and fall in love. Prior involvement in a committed romantic relationships and self-perceived physical attractiveness are part of dating assessment success. As part of the research men show their desire for greater intimacy in order to start a relationship. Women show a greater desire to start a family. Both men and women are most likely to live together or get married (Schindler, Fagundes, & Murdock

Morality as Anti-Nature Essay

Friedrich Nietzsche stands as one of the philosophers who tackled about the complexities of human existence and its condition. It is noteworthy to state that most of his works made several standpoints to what he refers to as the Ubermensch. The conception of such is designed to inspire the individual to substantiate his existence and rouse his self-overcoming and affirmative character. This can be said to arise from the idea of creating a self through the process of undergoing a destructive condition that enables the self to acquire greater power in relation to others. The development of such a self is dependent upon the recognition of the anti-naturalistic character of morality which he discusses in The Twilight of the Idols in the section entitled â€Å"Morality as Anti-Nature†. Within the aforementioned text, Nietzsche argues that morality hinders the individual from experiencing life as it limits an individual’s freewill thereby in the process leading to the creation of an individual who is incapable of life itself. He states, morality is a â€Å"revolt against life† (2006, p. 467). It is a revolt against life as it is based on the negation of an individual’s basic instinct to act freely in accordance to his passions. According to Nietzsche, this is evident in the case of Christian morality which places emphasis on the control of the passions. Within Christian morality, an individual who is incapable of controlling his passions is considered to be immoral as he is incapable of practicing restraint upon himself. Examples of this are evident if one considers that within Christian morality, to be saintly requires restraining one’s desires and hence one can only follow the path of Christ if one denies all of his desires, the denial of which involves the denial of all worldly things. He states, within the context of this morality â€Å"disciplining†¦has put the emphasis throughout the ages on eradication†¦but attacking the passions at the root means attacking life at the root: the practice of the church is inimical to life (Nietzsche, 2006, p. 66). The practice of the church, its imposition of morality contradicts the essence of life which is the actualization of an individual’s self since it delimits an individual to one particular kind of existence. For example, Christian morality has the Ten Commandments. If an individual follows these commandments, the individual’s spiritual life is ensured in the afterworld. Nietzsche argues that by following these commandments, the individual is at once delimited to one particular form of existence. This does not necessarily mean that Nietzsche applauds acts of murder; he is merely stating that by following moral rules and moral norms the individual is at once preventing himself from the experiencing a particular form of life and hence the actuality of life itself. It is important to note that by presenting a criticism of Christian moral values and moral values in general, Nietzsche does not necessarily prescribe an individual to follow his moral code. In fact one might state that Nietzsche does not possess a moral code. He states, Whenever we speak of values, we speak under the inspiration†¦of life: life forces us to establish values; life itself evaluates through us when we posit values†¦It follows from this that even that anti-nature of a morality which conceives God as the antithesis and condemnation of life is merely a value judgment on the part of life. (Nietzsche, 2006, p. 467) Within this context, Nietzsche recognizes that the anti-nature of morality is a value in itself. It differs however from a moral code since it does not delimit an individual by prescribing actions which he ought and ought not to follow. The importance of the anti-nature of morality lies in its emphasis on the affirmation of the individual. Within the text, Nietzsche claims, â€Å"morality in so far as it condemns†¦is a specific error†¦We seek our honour in being affirmative† (2006, p. 468). It is within this context that one may understand why for Nietzsche; the Ubermensch is an individual whose choices are dependent upon the ends justifying the means since to state that one performs a particular action since the means justifies the end is equivalent to performing a particular action since the act itself adheres to what a particular moral rule considers to be ‘good’. This is evident if one considers that in order for an individual S to consider Q a ‘good’ act wherein Q is good due to P and Q necessarily follows from P, it is necessary for P to be good within the context of a moral norm M. For example, a person may consider giving alms to the poor good since the act of giving alms itself is considered ‘good’ within the context of a particular moral norm. As opposed to the example mentioned above, the Ubermensch acts in accordance to what may be achieved by an act [the end of the act itself] since what the Ubermensch places emphasis on is the joy that may be achieved in the act itself. Alex MacIntyre states, â€Å"joy in the actual and active of every kind constitutes the fundamental end from which Nietzsche develops his critique of morality† (1999, p. 6). Although Nietzsche’s criticism of morality and its constraints upon an individual are valid, it is still impossible to conceive of a world wherein no morality is applied. Within the context of social reality, moral norms function to ensure order within society. Although laws may function by themselves to ensure the order of society, laws themselves are dependent upon a particular moral norm which the society adheres to. References McIntyre, A. (1997). The Sovereignty of Joy: Nietzsche’s Vision of Grand Politics. Toronto: U of Toronto P. Nietzsche, F. (2006). Morality as Anti-Nature. The Nietzsche Reader. Eds. K. Ansell-Pearson & D. Large. London: Wiley-Blackwell.

Poverty in Bangkok Essay

Thailand is a country in Southeast Asia and the only country in the region which was not touched by colonizers. The Asiarooms. com provided a proof to the common knowledge that name of the country came from the fact that being devoid of colonizer influence means they are free, thus Thailand means land of the free (Thailand population 1st par. ). The country’s population as reported by Asiarooms. com as of 2006 is about 64 million (Thailand population 11th line). Similar to most developing countries in the world, migration of people from rural to urban areas in search for better paying jobs and  opportunities, is a trend in Thailand. Bangkok has been the favorite destination. It is a common belief that westernization and effect of consumerism as seen in television, broadcast and print media provided the inertia and idealism for poor people to move to prime urban center that is Bangkok. According to United Nations poverty yardstick as reported by Stickman, poor people are those whose income is US$1. 00 per day or below. The UN report further stated that as of year 2000, there are about 19 million Thailanders classified as poor and that is about 29. 9% of the total population. These people are the rural dwellers in the provinces of north, west and northeast regions of Thailand (Stickman, â€Å"Poverty† 4th par. ). They are full of hope that they can successfully seek an employment in the city and send part of their wages back to their impoverished families which they left in the rural areas. As they move to the city, it is a normal expectation that most of them will face problems related to descent housing. Majority of them opt to stay with their relatives and friends in slum areas while trying to adjust to the new environment and searching for an employment. Due to the fact that majority of  them are unskilled having come from an agriculture area where rice farming is the dominant livelihood, experience will tell us that the chances are they will get a job which is normally low paying in the informal sector. If the new city dweller is a female, experience will tell that temptation is great to earn money from prostitution and drugs to relieve the tension of psychological worry that their families left behind in the rural area may go hungry. It can be hypothesized that since the new city dweller lack the essential skills and knowledge for a high paying job, majority of them will opt to be added to the ever  increasing slum population of Bangkok. As a sign of progress, others who have tasted the experience of touching money from their services rendered as prostitute or worker in informal sector and not from 2 farming, will opt to get their families back in the rural areas to stay with them in the slum areas amidst the hardship and glaring neon lights in the city. This paper aims to elucidate the plight of rural workers with emphasis on the female gender in urban setting and causes of poverty of slum dwellers in Bangkok. Current Status of Women in Thai Society The Thaiwaysmagazine.com in 2002 revealed that women status in Thailand has come a long to its present stage where the women are supposed to be in the same level of societal standing to men. In the middle 18th century, the wives were considered as material thing that can be possessed and be disposed of anytime. The culture of Thailand even up to this day expect women to go to work like men and at the same time take care of the household, cook food, take of the children and ensure the welfare of family members at all times (â€Å"Women status in Thai society† 1st par). It has been in the social structure in Thailand in the past that woman had to take care of the husband and be obedient to him. Whether born from a high society or not, ladies were still considered inferior to men (â€Å"Social Structure† 1st par. ). Theravada Buddhism is the religion of almost 85% of Thai population (Asiarooms. com, â€Å"Religion† 1st par. ). Buddhism as religion instilled into the mind of Thais the concept of karma. This concept is deeply engrained into the culture of Thais. The doctrine of karma teaches that every human act carries with it a merit and demerit points. The merit makes karma pure and clean while demerit makes karma dirty. Buddhism instilled into the minds of Thai that their life on earth is a process of being born again. When they die, they will be promoted into higher karma if they have no demerit. If their soul is impure due to demerits, they will be reincarnated into a lower form of life, they will undergo punishment and must learn to cleanse their karma (Sexwork. com â€Å"Buddhism and Prostitution† 7th par. ). Furthermore, Buddhists believe that by helping someone and showing gratefulness to their parents, they are purifying their soul leading to clean karma and nirvana, the purest of all souls. It is this belief that ladies since they are viewed lower in status than man under Buddhism ( 10thth par) opt to be prostitutes and sacrifice their virginity and shame just to earn money and give to their parents to redeem themselves and cleanse their karma (9th par. ). On closer analysis, the over-all effect in the long run is dependency of the family to their daughter prostitute for financial support and forgetting to strive harder to earn a descent living. 3 Thus the family remains in poverty all through their lives. Earning much money as prostitute compared  to farming in the rural villages where the ladies originated and at the same time cleansing their karma gave the woman an honorable profession in her own and family’s perception per standard of Buddhism. In totality, up to the present time, we can say that women under the Thai culture as influenced by Buddhism are considered as profitable investment like a material thing and less of a human being under the condition of poverty as experienced by economically deprived rural Thais. The Different Faces of Poverty in Bangkok: Informal Sector, Slum Settlements and Prostitution On closer analysis of an agricultural economy trying to be an industrialized one, the poverty in Bangkok is mainly due to migration of poor rural folks who are less skilled to do urban jobs (Sethuraman 79). This is the reason for majority of them landing into jobs in the informal sector of the economy. Author Mark Kramer in his book â€Å"Dispossesed† argue that jobs in the informal sector in Bangkok are mainly of small scale as the capital investment is also generally minimal (120). The author revealed that the activities are usually conducted without proper approval and recognition from  authorities and as such lack laws and regulations related to worker compensation standard and safety. The major activities include retail trade, transport repair and maintenance, personal and domestic services which include prostitution and small scale manufacturing. The enterprises in informal sector normally employs ten or fewer employees and mostly immediate family members. The work is normally labor intensive and require less skill which explain the rationale for offering a low pay. The workers learn the needed skills on the job and the employer-employee relationship is unwritten  with little or no appreciation of worker rights and industrial relation (121). For this reason, the entry and exit in the informal sector is easier than in the formal sector. The operation of the informal sector work in conjunction with the formal economy and contribute a lot to the economy of Thailand and become integral part of the global economy (122). Despite this fact however, we can conclude that the wages of individual worker is just barely enough for hand to mouth existence of the worker and his family. This is the reason for the ever existence of poverty in Bangkok. The workers of the informal economy live in cramped quarters made out of scrap ply board galvanized iron and used tires and erected by the worker themselves on the land not their own. The 4 concentration of the slum houses in the last 50 years gave rise to a well known squatter community called Klong Toey (Kramer 125). The author revealed that the Klong Toey slum community is populated mostly by rural migrants from Northeast Thailand who came to Bangkok for job opportunities. Being squatters, they constantly face the danger of eviction , their make shift house  dismantled and their properties like television sets and sala sets destroyed and dispossessed due to the fact that they have no legal right to the occupancy of the land (126). For this reason, the slum area don’t receive basic facilities like water, electricity and garbage removal from the government. The make shift shacks are built very close to each other provided with very small lane just enough for a two way walk. The author added that there are some small stores and food lots that sell basic commodities like canned goods, salt and sugar inside the slum area. More than 100,000 people live in the area making it damp  and fishy smell permeates. One thing is very noticeable in Kong Toey and that is the clean maintenance of Buddha shines with fresh flowers daily, a proof that the slum occupants are deeply religious despite their poverty (127). The author added that health problems and poverty goes hand in hand at Klong Toey. Modernization and access to television, radio and print media gave rise to consumerism among rural Thais. The poor people are also hoping that someday they can save money to buy the amenities and luxuries in life. It is an accepted fact that when there is poverty and the strong desire for material thing,  prostitution will surely set in. Reliable sources revealed that prostitution in Bangkok is in an ever increasing trend due to three causes. First, it is promoted by the government, second, prostitution and woman is already interwoven in the Thai culture, third, the practice is indirectly supported by Buddhism, the dominant faith of the Thais. 1. Prostitution is indirectly promoted and encouraged by the government Author Dave in Phoenix reported that the Thai government by virtue of The Entertainment Act of 1996 declared that â€Å"Prostitution is illegal in Thailand. Yet the law is written (even if  enforced) as to protect the activities that bring in so many billions of baht to the economy which supports so many families, women and children, and does little to change the sexual traditional morals of Thailand† (â€Å"Another report on The Entertainment Places Act of 1966† 30th par. ). It can 5 be said that based on the pronouncement of the author, the prohibition is only on paper but is not strictly enforced as doing it will harm the economy. As a support to the fact that the Thai government is encouraging prostitution, Justin Hall, a Master Degree student of Politics of South  and Southeast Asia researched from reliable documents that in 1967, during the Vietnam War, Thailand agreed to provide â€Å"rest and recreation services to American serviceman† (â€Å"International Political Economics† 4th par), thus Thailand in the words of Senator Fulbright agreed to become an â€Å"American brothel†(4th par 4th line). It is a fact that American soldiers need girls and Thailand need dollars. The Vietnam War resulted to injection of about $16 million into the Thai economy annually. The author added that in 1957, there were about 20,000 prostitutes in Thailand but in 1964, when the Americans established seven military bases in the country, the number skyrocketed to 400,000. After the war, the resulting slack in dollar earning was replaced by prostitution dollars from tourism which centered on sexual aspect (3rd par. ). 2. Prostitution is now interwoven in Thai society The practice which can only be done by a sweet and innocent woman is drawn by the prospect of much higher reward than what they could earn in government position, doing unskilled labor in informal sector and in agriculture (Hall, â€Å"Opportunity† 1st par. ). The author reported further that a  study of a Thai sociologist Pasuk Pongpaichit in 1982 for International Labor Organization of UN revealed an estimated income of sex worker to be about 25 times higher than what can be earned in other occupation. The author added that a couple of years work could enable the prostitute family to build a house which can only built out of lifetime savings in rural area of Northeast Thailand. The author claimed that â€Å"Our survey clearly showed that the girls felt they were making a perfectly rational decision within the context of their particular social and economic structure† (â€Å"Opportunity† 3rd par.). This shows that the entire family can be supported by just one prostitute and the entire rural village is made up of such families (â€Å"Opportunity† 1st par. ). It is thus expected that a girl in a family will bring economic fortune to the poor family by working as a prostitute. 3. Prostitution is indirectly supported by Buddhism, the dominant religion of the Thais It was learned earlier from author Dave in Phoenix that Buddhism inculcated into the minds of 6 Thais that our life on earth is a process leading to being reborn or re-incarnated (â€Å"Buddhism and Prostitution† 7th par. ). The good acts to fellow person showing gratitude for what they have done serve as a merit factor leading to a clean karma and ultimately nirvana.. Buddhism propagated the belief that woman is of a lower gender and should not be praised, loved and taken cared of as their natural role is nothing else but of procreation. The girl in the family upon reaching adolescent age is more than willing to be a prostitute, earn money to support her parents and family. The girls are sacrificing for they know that their acts will lead to clean karma and they will be reincarnated to a higher being after death and achieve eternal peace or nirvana. (â€Å"Buddhism and Prostitution† 10th par. ). The foregoing analysis supported by reliable sources points to the fact that prostitution is a product of poverty and the way out is inspired by societal acceptance of the practice ably supported by religious belief. Summary and Conclusion It was proven from the sources consulted, that migration of rural folks from Northeast Thailand to urban Bangkok in search of better paying jobs is the trend in the last three decades. The exodus resulted to more cases of alleviated poverty than reducing it. As a means of fighting poverty, the rural folks while seeking their destiny in Bangkok congregates in informal settlements one of which is the known Klong Toey slum community. In exchange for a low paying job in the informal sector but still better than farming, the new urban dwellers developed within themselves the inherent quality to endure psychological pain and stress from constant threat of eviction and dispossession of the materials they painstakingly bought out of the money coming from sweat and sacrifices. One of the proven ways to seek out of poverty is to be a prostitute. The Thai government although pressured by UN to stop the  practice cannot do anything but indirectly support prostitution for fear of losing precious dollars which help the economy survive. It is a co-incidence that the female gender is being looked at as the one who can do it as it is accepted by society as indirectly influenced by Buddhism. Being the land of the free, Thailand is maintaining its sovereignty in the community of nations and it is only their society and no one else can judge the morality of female prostitution as a way of escaping poverty. Works Cited Dave in Phoenix. â€Å"Legal Status of Prostitution- The Creative Law to bow to Outside Pressure Yet  Preserve Traditions and Economic Advantages to Families† Sexwork Cyber Center. 1999. 23 April 2009 Dave in Phoenix. â€Å"The Influence Of Thai Buddhism on Prostitution: Traditional Acceptance / Encouragement vs. Modern Reform Views. Sexwork Cyber Center. 1999. 23 April 2009 Hall, Justin. â€Å"Prostitution in Thailand and Southeast Asia†. 1998. 23 April 2009 Kramer, Mark. Dispossesed. New York: Orbis Books, 2006 Sarutta. â€Å"Women’s Status in Thai Society† Thaiwaysmagazine.com. 10 September 2002. 23 April 2009 http://www. thaiwaysmagazine. com/thai_article/1911_thai_women_status/thai_women_status. html Sethuraman, S. V. The urban informal sector in Asia: an annotated bibliography. Geneva: International Labor Organization, 1992. Stickman, L. â€Å"Thailand-Population, Poverty and Prostitution†. Stickman’s guide to Bangkok. 23 April 2009 < http://www. stickmanbangkok. com/reader/reader291. html> â€Å"Thailand Population â€Å"AsiaRooms. com. 23 April 2009. 23 April 2009. http://www. asiarooms. com/travel-guide/thailand/thailand-overview/thailand-population. html

Nursing Study Guide Block 4 Final

Study Guide for the Final Exam Here are the rules: please do not call me or email me questions about the study guide. I will answer questions about the study guide during the brief review before the exam itself. You cannot memorize the answers to the questions and do well on the exam- the questions are meant to stimulate thinking, not to be answers. Please remember to review the chapters on shock and MODS as there are questions on this content. 1.There are several ABG questions; remember these also include oxygen numbers so be prepared to determine oxygenation in addition to acid base PH: 7. 35- 7. 45 PCO2: 35-45 HCO3: 22-26 O2: 94-100 2. Review the care of the patient with pneumonia, including applicable nursing diagnoses and measureable outcomes Restrictive respiratory disorder: decreased lung expansion- low PaO2, decreased lung compliance, normal to low P/Q ration, shunt, respiratory alkalosis (blowing off co2, more bicarbonate) increased RR, TV smaller.SOB/cough, dyspnea=how many words can they say in one breath chest pain, fatigue, wt. loss, lung crackles, care: HOB 30deg, fluids to clear secretions, tidal volume–normal breathing 500mL Nursing dx: impaired gas exchange, ineffective breathing pattern, acute pain Outcomes: maintains adequate alveolar oxygen-carbon dioxide exchange, clears lungs of fluids and exudates. Demonstrates effective RR, rhythm, and depth of respirations. Reports control of pain following relief measures. . Review the treatment for TB (look in Lewis), including medications, length of treatment, evaluation of treatment plan, who is most likely to get TB infection, and side effects of the medications Medications: aggressive TB treatment: four drugs for 6 months, (INH, rifampin [Rifadin], pyrazinamide [PZA], and ethambutol) Newer: rifamycins, rifubin, rifapentine, first line for special situations Length of treatment: 6 months- 1 YearEvaluation of treatment plan: resolution of the disease, normal pulmonary function, absence of any complication, no transmission of TB, Most likely to contract: Asians have the highest TB rate, followed by Hawaiians and pacific islanders. African Americans are the highest rate inside the US. (45%) Higher rates of TB infections with patients with HIV infections Side effects of meds: alcohol increases hepatotoxicity of INH, monitor liver function.PZA may not be included in initial phase (due to liver disease or pregnancy) 4. Review the care of a patient with lung surgery, including chest tube management To keep lung inflated & Drain fluid from interpleural space How do you know if collapsed lung: Blood gases, Chest X-ray, Vital signs, Color Air leaks – bubbling in water chamber: check your tubes for air leak & make sure they’re always free of kinks. Don’t milk the chest tube (unless ordered).Continued bubbling = pneumothorax not resolved yet, Constant vigorous bubbling = air leak in system Should see tidaling if not attached to suction >100cc/hr. of drainage = call doc Determine if working correctly by: Monitor output, pain, breath sounds, assess patient breathing, auscultate, ABG, pulse ox (SPO2), skin/mucous membrane coloring, and respiratory effort Chest tube pain is common- give pain meds >7/10 5.Review heart failure: right-sided (acute and chronic), left- sided (acute and chronic), pulmonary edema, cardiomyopathy and management of the patients; remember to review the hemodynamic changes (and values) associated with right and left sided failure RIGHT SIDED HF: (FLUID RETENTION): Corpulmonale, systemic edema, neck vein distention, weight gain, fluid retention, Risk: COPD, hypoxia (pulmonary HTN), causes pulmonary vasoconstriction.CVP = increased; PVR = increased; SVR = increased; wedge = increased; contractility = decreased medication: nitroglycerine to decrease venous return, fix preload LEFT SIDED HF: (RESPIRATORY) DYSPNEA ON EXERTION, back up in lungs, pink frothy sputum, decreased O2 stat, increase RR. CVP = increased; PVR = incre ased; SVR = increased; wedge = increased; contractility = decreased HEART FAILURE: Usually starts out with one ventricle.Nitroglycerine, aspirin, O2, pericardial thump, Lasix, ACE, + inotrope, Class 4, transplant, symptomatic. ACUTE HF: Dig, Lasix, ACE, ARBS, Betas, Calcium Channel, Nitro, and Aspirin, compensatory mechanism is ok. CHRONIC HF: both ventricles can fail (left to right), Dig, Lasix, ACE, BETA, ARBS (if cough), calcium channel blocker, Primacore, compensatory mechanism makes it worse. 2 CLASSIFICATIONS OF HF: 1. Systolic: problems pushing volume out problem with too much afterload: HTN. TX: decrease SVR with dig, Lasix (diuretics), ACE. 2.Diastolic: problem with filling and getting blood in (Hypertrophic cardio) less room for blood TX: Beta blockers to reduce contraction or calcium channel then ACE. If you give them DIG it will kill them (will increase heart working too hard). PULMONARY EDEMA: hallmark: pink frothy sputum, Left- sided heart failure. Decreased albumin, d ecreased oncotic pressure, increased hydrostatic pressure. Dilated: Left vent is dilated (stretched out of shape) decreasing the ejection fraction. Vent is overstretched from CHF or chronic hypertension.Diagnose with chest X-ray: heart is BIG. TX: Dig, Lasix, Ace. Arrhythmias will increase mortality rate HYPERTROPHIC: L vent hypertrophy decreases the ability of the chamber to relax, decrease contractility (athlete, hereditary. ) TX: BB, CCB Constricted/restricted: normal size heart with decreased cardiac muscle compliance. Scarred= fibrosis, radiation, infection (rheumatic fever) control of volume overload is AGGRESSIVE: Ace, Diuretic, Dobutamine, Nitroglycerin/Nitropresside, exercise restriction . Review patho and management of COPD, especially related to acute respiratory failure. COPD: obstructive, exhalation problem, air flows in but then becomes trapped, teach pursed lipped breathing to improve FRC. Clinical manifestations: increased lung expansion, normal to increased TLC, dec reased forces expiratory volume, increased functional residual capacity, decreased vital capacity, increased CO2, O2 sat-80-100, PaO2- 60 Best mask to use is vent mask, most precise O2 is delivered.Barrel chest- chronic hyperinflation of torso Corpulmonale, > expiratory time, wheezing or rhonchi, A fib from chronic overuse of right ventricle TX: beta agonist/beta stimulant=dilates airway (epinephrine, albuterol) Anticholinergic bronchodilators, corticosteroids, mucolytic=thin out secretions, Mucinex or SVN mucomist, pulmonary vasodilators not common, prostaglandin E2, supposed to dilate pulmonary vessels but BP can plummet too.Nitrous oxide can temporarily improve pulmonary HTN but doesn’t improve outcomes Respiratory Failure: ALOC- confusion, restless. Nasal flaring, increased HR, increased BP, increased RR, increased depth, PVCs, Pulmonary Embolism=blue very fast, otherwise cyanosis is a late sign 7. Review management of patients on ventilators, including process of weaning and recognition of weaning failure AC – assist control: doing all the breathing for the patient. It’s providing Tidal volume and oxygen.For your unstable patient NO pressure support needed SIMV – synchronized intermittent mandatory ventilation: For weaning: Makes it easier for patient to take their own spontaneous breath. Tidal volume off and O2 on. Pressure support adjunct PEEP – positive end expiratory pressure, Keeps alveoli open by use of positive pressure. Increases FRC – air left in after exhalation. ARDS patient. Little bit of positive pressure at the end of exhalation. Use with SIMV or AC. Keep between 5-10, and not over

Eth125 R8 Disability Diversity

Associate Program Material Aging and Disability Worksheet Part I Identify 2 or 3 issues faced by the aging population. 1. Lack of security for the future (social security dwindling) 2. Unable to afford being able to retire 3. Being alone Answer the following questions in 100 to 200 words each. Provide citations for all the sources you use. †¢ What is ageism? How does ageism influence the presence of diversity in society? Ageism is prejudice or discrimination against a particular age-group, especially the elderly.Ageism influences the presence of diversity because those who are affected by ageism within their career may lose their job due to newer, younger, cheaper people coming into the workplace to take over their current position. Which may leave those who are older without proper insurance to take care of their aging bodies which could result in earlier deaths and a lack of diversity in the world. Also when the younger generation takes over positions in the workplace that wor kplace will have a lack of diversity as well. http://www. merriam-webster. com/dictionary/ageism What is the Age Discrimination in Employment Act (ADEA)? How does the ADEA address issues for the aging population? The Age Discrimination in Employment Act was put into place in 1967 to prohibit discrimination of people over the age of 40 in the work place. The ADEA addresses issues for the aging population by making it illegal to fail or refuse to hire or to discharge any individual or otherwise discriminate against any individual with respect to his compensation, terms, conditions, or privileges of employment, because of such individual’s age.Also it makes it illegal to limit, segregate, or classify his employees in any way which would deprive or tend to deprive any individual of employment opportunities or otherwise adversely affect his status as an employee, because of such individual’s age. http://www. eeoc. gov/laws/statutes/adea. cfm †¢ What is being done to ad dress the issues you identified? The ADEA had put many laws in affect to make it illegal to discriminate someone for their age. It also has been recommended to Congress to have education and research programs.These programs shall research, and promote research, with a view to reducing barriers to the employment of older persons, and the promotion of measures for utilizing their skills. They will also publish and otherwise make available to employers, professional societies, the various media of communication, and other interested persons the findings of studies and other materials for the promotion of employment and foster through the public employment service system and through cooperative effort the development of facilities of public and private agencies for expanding the opportunities and potentials of older persons. ttp://www. eeoc. gov/laws/statutes/adea. cfm †¢ Is the number of aging population expected to rise in numbers or decrease? The number of aging population is ex pected to rise in numbers. â€Å"With baby boomers approaching retirement, the 65-and-over population in the United States could increase nearly 80 percent by 2025. During the same period, there will be just 15 percent more working-age adults and 15 percent more children younger than 15. † With the number of baby boomers approaching retirement there will be a strain put on social ecurity and other benefits made available to those who are senior citizens. This will cause problems to those retire after them. There is no certainty that things like social security will last through the baby boomers and be around when the next generation retires. http://www. globalaging. org/elderrights/us/populationrise. htm †¢ What types of legislation may or may not be affected by the aging population? Two major pieces of legislature that will be affected by the aging population is pension provision and health care.With both pension and health care the key issues that will cause issues is that the number of people working and paying taxes to fun pension and health care programs is going to dramatically decrease as the baby boomers retire and as they retire the amount of people uses these services in going to see an increase. Legislation regarding items such as criminals is unlikely to have any effect on the aging population. While there are some laws in certain states requiring older people to retake their drivers test each year or every two years a country wide law could also affect the aging population as well. How does poverty affect the aging population? Poverty affects the aging population in many different ways. Since people are living longer and with that resources are decreasing as time goes on and the elderly have fewer and fewer choices for finding help with finances and health related issues, which results in substandard medical care. Having substandard medical care can result in subpar health and either suffering due to a medical condition or death from a medical condition that could have been treating if better medical care was available to them.Another affect poverty has is subpar housing and the ability to provide food for themselves due to a lack of income and the fact that many programs meant to help have strict guidelines or are disappearing all together. Part II Answer the following questions in 100 to 200 words each. Provide citations for all the sources you use. †¢ What does the ADA provide for people with disabilities? The ADA’s goal is to provide equality to people with disabilities and protect them from any discrimination that they may be faced with.The ADA provides protection to those with disabilities in the workplace where there is a possibility they could be discriminated against and be fired, or passed over for a job. The ADA also insures that public structures are accessible to those with disabilities. By doing this it allows people with disabilities to feel more like equals by having protection from di scrimination and the ability to enjoy the same things their friends do such as going to restaurants and the mall. http://www. ada. gov/q&aeng02. tm †¢ How have people with disabilities been treated in the past? In the past people with disabilities have been treated unfairly and have faced discrimination. In recent years things have been improving but there is still work to be done. There are still a few buildings that are not handicap accessible. Some may be included in the exclusion under the ADA such as historical buildings but there are some who are â€Å"flying under the radar† and until a problem arises they will continue on with their business.Another problem people with disabilities faced was discrimination in the work place. They were often not chosen for jobs because they were not able to perform them with accommodations. While this may still occur with the ADA it makes it illegal. †¢ How has the attitude toward people with disabilities changed over time? I n earlier years people with disabilities were often placed into institutions and were then forgotten about which resulted in them living in unsafe and unsanitary conditions.Many of them were abused, neglected or murdered by their own families or by the people who worked at the institutions. They were called â€Å"retarded†. Today discrimination towards those with disabilities still does exist the condition of the homes in which some disabled live is acceptable and some with disabilities are able to have happy healthy lives with little or no accommodations made. Some neglect and abuse still does occur but the days of forced sterilization are over. What are some unique circumstances or issues encountered by people with disabilities? There are many unique circumstances or issues encountered by people with disabilities. Little people definetelty face many of these unique circumstances. Just going to a restaurant or even a friend’s house provides issues for little people to be able to get around safely by car or being able to see on top of counters and reach things like sinks. People in wheelchairs also face some unusual circumstances off their own.Just like little people they also may encounter problems reaching counters and sinks, and traveling. Just imagine trying to navigate your wheelchair across a snowy parking lot or sidewalk to get to your favorite restaurant. †¢ What is being done to address those issues? Many public places have smaller toilets and sinks that help children and little people be able to reach the sinks and toilets with ease. Adding these little things help not only the little people community but also help children becomes more independent.Many public places also have wheelchair assessable sinks that allow them to pull their chairs right up and under the sink to allow them to reach it with ease. Handicap accessible parking spot allow for all people with disabilities to park closer to reduce the amount they have to walk thu s reducing the amount of accidents that could occur. †¢ What types of legislation have been introduced to address issues faced by people with disabilities? On January 23, 1990 Congress passed the â€Å"Americans with Disabilities Act† (ADA) it provided protection for people with disabilities in many aspects of their lives.In 1988 the Fair Housing Act was amended to include people with disabilities and families with children with disabilities. In 1973 the Rehabilitation act prohibited discrimination against someone with a disability by anyone receiving federal assistance, but it did not cover discrimination by employers, public accommodations in the private sector, publicly funded programs or those providing federal financial assistance. Protection for all disabilities did not take place until the Americans with Disabilities Act passed.CERTIFICATE OF ORIGINALITY I  certify that  the attached  paper is my original work. I am familiar with and acknowledge my responsib ilities, which are part of the University of Phoenix Student Code of Academic Integrity. I affirm that any section of the paper which has been submitted previously is attributed and cited as such, and that this paper has not been submitted by anyone else. I have identified the sources of all information whether quoted verbatim or paraphrased, all images, and all quotations with citations and reference listings.Along with citations and reference listings, I have used quotation marks to identify quotations of fewer than 40 words and have used block indentation for quotations of 40 or more words. Nothing in this assignment violates copyright, trademark, or other intellectual property laws. I further agree that my name typed  on the line below is intended to have, and shall have, the same validity as my handwritten signature. Student's  signature (name typed here is equivalent to a signature): Skyye Smith