Saturday, October 5, 2019
Interview Summary with Xiaochu of BenMo PR Essay
Interview Summary with Xiaochu of BenMo PR - Essay Example She denied the college life keeping her eye on the future needs which demanded her to ââ¬Å"get her life started and going as soon as possibleâ⬠. Her finance needs led her to the modeling area and bartending but soon her creativity persuaded her on starting her own blogs on the internet and she captured the attention of huge followings quickly. Xiaoxhu maintained her double identity i.e. her real-life identity and her virtual identity in all this time period. However, she was quite successful in maintaining her reputation under both identities. In the virtual world, she was named as the best blogger in four of the prevailing web networks, Sina, Sohu, Xici, and Tianya. She was voted as the Beauty Blogger in both Tianya and Sohu and was elected to be the ââ¬Å"basketball babeâ⬠for the 2008 Beijing Olympics website. On the other hand, her real life activities involved her service as an editor for a local Shanghai magazine and she was also on the organizing committee for the 57th World Beauty Pagent. This illuminates her ambition of not accepting the life and circumstances as they are but to develop her career and achieve her ultimate aim of being a successful person. The goal of such hardworking and ambitious people is sometimes to achieve comforts of life, wealth or some other kind of financial benefit. However, Xiaoxhu ââ¬Å"never saw money as the main goal.â⬠She further illuminates this idea by asserting that ââ¬Å"even at the beginning money was just something to put food in my mouth and a roof over my head.â⬠This clearly shows that her aims were not limited to grabbing money and leaving this world without being seen or noticed by others. Her aim was to capture the general public and make her name known to them in good words. Her success was accompanied by the achievement of her goals in her own distinct way of attracting public, specifically general public. In support of her
Friday, October 4, 2019
Answer the 4 questions at the end of the case study
Answer the 4 questions at the end of the - Case Study Example It is evident from the report of McGowan (2004) that putting denial of market access for Mexico is unjustified due to the fact that other countries like fishing agencies of Costa Rica and Ecuador and even USA are also purse seine method to catch tuna; therefore only increasing world demand as the United States was not integrating with a particular market. Figure 1 illustrates the negative impacts to supply and demand that the imposition of an embargo imposes. Figure 1 Imposing embargo not only created trade barriers for Mexico but also caused a loss of millions of dollars for the countries involved in the dispute. It is evident from the argument of McGowan (2004) that fishermen of Mexico use purse seine methods due to non availability of alternatives; alternatives which ultimately could have saved the life of dolphins. Within such a context, a consideration of the research work of Porter (2006) reveals the fact that USA should provide knowledge and resource support to Mexico fisherme n in order to encourage the use of alternate fishing methods; instead of purse seine nets. Porter (2006) found that using purse seine nets can cause serious damage to aquatic eco-system and might even increase death threats for dolphins. However, fishermen in Eastern Tropical Pacific (ETP) still using purse seine nets which are posing death threat for dolphins. ... Question 2: Did the U.S. denial of market access ultimately work? Answer: The U.S. imposed a denial of market access for tuna imports from countries like Mexico, Costa Rica and Ecuador which were known to use purse seine nets. Recently, the USA and Mexico have both appealed to World Trade Organization (WTO) regarding favoritism in tuna exportation (United States Trade Representative, 2012). Mexico subsequently challenged the U.S. denial by stating that fishermen of the USA are also using purse seine nets to catch tuna. In 1992, after the meeting between USA representatives of countries whose market access was denied by U.S, Dolphin safety panels were installed in most of the nets. As could easily have been predicted, the United States denial of market access had both positive and negative impacts. Firstly, it allowed the partner nations to lose a great deal of business revenue and merely shifted the supply and demand curve for tuna throughout the regional and global markets. Secondly , it can be stated to have had a positive impact due to the fact that the United States and partner nations realized that this trade dispute was having negative impacts upon their own respective economies; thereby encouraging them to address the issue and seek to improve tuna fishing technology to better safeguard the plight of the dolphins. Due to such measures, dolphin mortality rate was decreased significantly between1986 to 1998. Figure 2: Decrease in Total Dolphin Death (Source: Czinkota & Ronkainen, 2002) However, U.S denial of market access cannot be classified as only factor behind the sharp decrease in dolphinââ¬â¢s mortality rate because coagulation of other
Thursday, October 3, 2019
Ritalin Abuse Essay Example for Free
Ritalin Abuse Essay The pharmaceutical industry, working with the government and organized psychiatry, claim that such drugs as Ritalin, are a safe treatment for ADHD. School systems and courts have pressured and even forced parents to give stimulant drugs to their children. But hidden behind the well-oiled public relations machine is a potentially devastating reality. The problem with ADHD or ADD is already not whether or not ADHD is a subtype of ADD, but rather the problem is whether or not we should be medicating our children with drugs such as Ritalin. Questions like the following often arise when discussing the issue: Are the side effects worth getting our children under control? Are all the children who are on Ritalin on it for just cause or are the drugs being abused? What does the future hold for these children who are using Ritalin and other stimulants? All these questions leave parents wondering if they should put their young child on medications and what it will do to their future. Millions of children are prescribed the stimulant drugs such as Ritalin, Adderall, Concerta and Metadate for Attention-Deficit Hyperactivity Disorder (ADHD) in the hope of controlling behaviours described as hyperactivity, impulsivity and inattention. These medications decrease restlessness, improve attention span, increase the ability to focus, decrease aggressive outbursts and improve social interaction. They are thought to work by adjusting the brains chemical balance and reversing under-arousal, possibly by increasing the availability of certain neurotransmitters. About 75 % of children with ADHD respond well to stimulant medication with improved attention at school and increased academic productivity (Kidd, 2000). Ritalin, the most commonly prescribed stimulant for ADHD, peaks 1 to 2 hours after its taken and effects last about 4 hours. For maximum benefit its taken three times a day, seven days a week in order to sustain home as well as school interactions. (Some find that although the afternoon dose eases home relationships, it may exacerbate side effects such as poor appetite and insomnia. ) A slow-release form taken in the morning may last the day (at least 6 to 8 hours). A few develop drug tolerance and need increasing doses to suppress symptoms. (High amounts may have some growth-retarding effect, requring a drug change. ) Side effects of Ritalin can include headaches, insomnia, reduced appetite and weight loss, stomach aches, occasional tics (grimaces, nail biting), a zombie-like stare, obsessive over-focussing (becoming over-engrossed) and emotional constriction (for instance shown by drawings where everything is miniscule or shoved tightly into a corner). Omitting the 4 p. m. dose might overcome the sleep problems but at the cost of disrupting home and family life. Most side effects can be avoided by giving smaller doses. Some children object to the roller-coaster feeling while on the drug, and want to feel normal again, leading to a drop-off in drug-taking. Some hate the idea of having their behaviour controlled; and some parents oppose the idea of mind-altering drugs for their kids (Kidd, 2000, p. 20). In any case, there are always some ideals that do persuade parents into giving their children stimulants. The one of the appeals, and usually a selfish one, is that the drug gets their child under control. Parents who are fed up with their child and their behavior think that there is no other way of getting their child to behave and automatically look for a drug to get the situation changed sometimes when the child hasnt even been diagnosed with disorder yet. The appeal greatens when guilt settles in. Parents sometimes feel responsible for their childs outbreaks and by giving him or her a drug it makes the parents feel as if something chemically is wrong, and isnt because of the childs upbringing (Brink, 2004). Besides short-term benefits for Ritalin, some studies show that there are some long-term ones as well. In 1988 scientists found improvements in cognitive functions in reading performances. Though it wasnt positive, and is also very controversial if the drug itself was creating the improvement or if it was the drugs ability to reduce the disorders symptoms, which helps the child focus, but in the end, there still was an obvious increase in learning. Though frustration of child obedience, previously mention guilt, and hope for better grades often play a vital role in the decision of whether or not to put ones child on medication, there are some outstanding negatives that also make an impact on parents choices on the matter. One of the major problems with Ritalin is the side effects the medication causes its users. As mentioned before, these include effects as minor as stomach pains, sleep loss, loss or appetite and irritability. But side effects can be as serious as facial tics, anxiety, insomnia, and depression. (Hancock and Wingert, 1996) Other sever symptoms include increase in blood pressure, nausea, hypersensitivity, and temporary decrease in bone growth (White and Rouge, 2003). In February of 1996, the Food and Drug Administration released a study done on mice that showed that Ritalin might even have the ability to cause a liver cancer (Hancock and Wingert, 1996). It is being feared by many physicians that Ritalin is being overly prescribed to children. Some doctors are seeing patients that have been told to have ADHD, but in reality have other problems such as learning difficulties or depression. Parents often even ask doctors for Ritalin, even when their child does not have a need for it, but the childs parents want to see his or her grades rise. Some doctors even admit to giving children the drug without doing much background checking of the child or any psychological tests that may prove the child has other problems. (Hancock and Wingert, 1996). ADHD is diagnosed without much hoop jumping. There are sixteen different symptoms that ADHD is connected with, and if the child has eight of them then all too often he or she is automatically considered to have ADHD; often without taking any other disorders or problems into consideration such as anxiety or depression (Donnelly, 1998). It seems as though parents are able to get their children the drug almost at demand. If they feel their child is in need of the stimulant, there is little stopping them from receiving it. Skepticism of ADHD and stimulants continue getting more serious when taking in some of the statistics. One fact that may change someones thoughts on the disorder is that 8 in 10 children with ADHD are boys (Donnelly, 1998) But does anyone put into consideration that girls develop and become mature faster than boys? Or is it being forgotten that kids are just kids and are not always going to act as teachers and parents desire? Another issue relating to Ritalin is the possibilities of unknown long-term effects that have not yet been discovered. There have not been any long-term studies done on children who have taken Ritalin. Since ADHD cannot be tested by blood tests or any other kind of testing, there is always the chance that children are being misdiagnosed and receiving stimulants for a disorder that they do not have (Hancock and Wingert, 1996). Children sometimes have symptoms that seem like ADHD but arent at all. The child can have problems such as chronic fear, mild seizures or even chronic ear infections, all of which may make adults assume the child has the disorder, but in reality has something completely different. Often problems at home make children act up as well. There maybe an abusive parent at home that makes a child be difficult in the classroom. In cases like these the child is not in need of drugs, but needs counseling (White and Rouge, 2003). The concept of ADHD and its medications are really hard to justify. There are some very valid reasons for putting children on the drug, especially helping them pay attention in school and having the same opportunity as the rest of the children in their classes. But the side effects are just mind boggling. I think even the slightest chance of some of these side effects mentioned would want parents to search for alternatives for their children and keep them away from the drug. Another problem about ADHD is the fact that doctors cannot find anything psychically different from the children diagnosed with the disease from those that are normal. Dr. Thomas Millar, a retired Vancouver child psychiatrist, goes as far as to say that ADHD is a mythical disorder(Donnelly, 1998, p. 2). He also says that the problem is not hyper children, but rather its poor parenting. Children that act as children do- easily excited, short attention spans, and hyper (all symptoms of ADHD)- are not considered to be acting as normal children, but rather as children with a disorder . I think Dr. Millar put it best when he said, If Tom Sawyer was around today, hed be Ritalin, as would any other normal boy in literature. Today, parents dont have any idea of what child behavior ought to be. Parents who start giving their children this drug at ages as earlier as two, I think, are looking for quick fix and are being lazy. How can parent decide that a two year old is being hyperactive (White and Rouge, 2003)? Most two year olds are active and have little to no attention spans. I think this only teaches children that drugs are the answer to all our problems. By putting a child on a mind altering drug at such a young age, when he or she has not even started school yet, it leaves a parent with very little evidence or reason for their action. The child does not have schoolwork yet, and has little need for paying attention for long periods of time, so what does this child need the drug for? Because the child is difficult and more active than a parent wishes? It almost seems as if parents want to change their childs personality and make their childhood less interesting. I think its very important that parents do not view Ritalin as the first and only way of calming their child down. All in all, Ritalin is a very controversial drug in our country because of its side effects and the insecurities of diagnosing ADHD. The drug carries very important help for children who are struggling to pay attention and without a doubt do have a disorder. But the number of children who are on the drug for the wrong reason is a scary thought. Are we become so impatient with our children that we do not want to take the time to discipline or help them through their problems? Have our children become so bad that we are willing to risk their health so they calm down and do not embarrass us? Our society needs to learn more about this drug that too many of us are so quickly giving to our children.
Physical Observed Assessment Analysis
Physical Observed Assessment Analysis COMMUNICATION Any form of interaction is done through communication as a skill. To human interaction it is pivotal. Communication is a process which enables people to relate with those around them and to make concerns and needs know very well indeed. Communication can be verbal and non- verbal.Peate (2005) states that non- verbal communication reinforces a verbally communicated message. Building an important sustaining relationships with a patient, eye contact, smiling, touching, head nodding and leaning forward all these are recommended and have been seen as more helpful in communicating with patients on non-verbal communication. These are the signs and symbols we use, they have powerful impact in interpreting and sharing the meanings of messages. Non-judgemental interactions are focused on therapeutic communication, helps settle emotional conflicts and supports heart to heart talks allowing a patient to feel safe and free to share their true feelings, fears, values, hopes and ideas. This can result in healing benefits. According to Crawford et al (2006), communication is central and powerful, it helps not damage a patientââ¬â¢s life. Other important attributes of communication are listening and acknowledgeing.These are also essential because they raise the self ââ¬âesteem of patients, thereby paving way for a therapeutic relationship. All details that could identify any person, clinical placement or trust have been changed to protect confidentiality, in line with The Nursing and Midwifery Council (NMC) Code of Professional Conduct, Performance and Ethics (2008) the name used will be Mr. Smith. This assignment is going to be discussed about a physical observed assessment which was observed during practice at placement. Mr. Smith came in with different medical history problems. The reason why he was admitted in hospital is because he had eye condition two months ago. On assessment, Mr. Smith was coughing, wheezy and dyspnoeic with shallow breathing accompanied by the use of accessory muscles. His hands were clammy. Mr. Smith said that he did not want to be in hospital, was tough and appeared very anxious during assessment. Touch was the Communication tools which was used to assess him during the period he was admitted in the ward. He could not see the nurse when she was talking to him because of his vision lost. Mr. Smith suffers with an eye condition. This is a condition somewhere the optic nerve is injured next to the idea of where it will opt out. With this kind of condition that Mr. Smith has, when trying to communicate with Mr. Smith you must attempt to be at the similar eye level as him, continually examine to find if he is able to comprehend you or not.so that you will be able to achieve Mr. Smithââ¬â¢s courtesy and to keep his attention during the discussion, the use of touch is vital. Establishing the health care needs, when a patient is admitted an assessment has to be done. Assessment is one of the greatest vital jobs any qualified workers can agree to. If it is done systematically by using the range of skills that is required, it can show to be most actual and authorising knowledge for everybody anxious. But it requires to be completed appropriately and to the best of your capability. Before arriving at any decision MDT has work and achieve their set of goals effectively, communication has to take place at all levels across the various discipline.NMC (2008) specifies that nurses should make patients their first concern and treat them with compassion maintaining the individual aspects, NMC (2011) sees communication as an important skill that complements the proficiencies that nurses are required to accomplish. Mr. Smithââ¬â¢s nurse has made a plan. A plan was a session which lasts 30minutes and allowed me to observe my mentor what she has been doing with Mr. Smith. When someone is sensitive to touch, they are many signs that will indicate. Facial expression, a bite reflex or grinding teeth are most visible when touching someone. The procedure which was used by the nurse reduced the relieves reaction. She started by touching Mr. Smithââ¬â¢s hands then slowly moving them up his arms final on his shoulders, she clarified this was beneficial to the patient, slowly developed the use of being touched. She then engaged both hands on the side of Mr. Smithââ¬â¢s face slightly and started with the movements. The reason she did this was because she wanted to warm up Mr. Smithââ¬â¢s face muscles. The nurse now provided Mr. Smith some facial languages to attempt and transport out such as sulking, pleasure, irritation, surprise and grief. Furthermore make sure they are agreed out correctly with sufficient of time, as if they are hurried they will not be achieved correctly. (Timby 2005) indicated that touch is the best potent non-verbal message techinique.It is a caring and calming hint shows the patients that the nurse helps. Remain confident to practice touch in this technique only if there is non ââ¬âviolent to patients. However( Holey and Matthews 2013) stated that touch is a cultural ,some patients prefer that you not touch them except for treatment purpose, Many feel that touch is a medical setting signals that something disagreeable is about to happen. If you feel the patient is friendly, offer a comforting touch when nothing offensive or painful is planned. ( Kowalski 2008) suggest that before touch as a means of giving concern and compassion, defined by seeing the client whether your touch is wanted without consent agreed touching implies a certain understanding and creates power to the one who is touching over the one who is touched. There are many plans needs to be considered when communicating with a lost vision clients (Mr. Smith). It is vital to make face to face with Mr. Smith when communicating with him, if required, bow or be seated down so you remain on level where he can see you eye to eye and he can also hear your voice. (Timby ,2005) stated that eye to eye communication means eyeing straight into the eye of the other person .Absence of eye interaction has a number of meanings among cultures. Do not speak to him when you are not standing in front of him where cannot see or hear you clearly or do not go missing while cooperating. With Mr. Smithââ¬â¢s condition you have to speak with a tone voice since he has a vision condition. There signs that can encourage Mr. Smith toward communicate such as touching overall comments and using his title before introduction into general discussions can help Mr. Smith to feel more relaxed to be involved in a discussion. To keep a flowing discussion the healthcare professional are required to use inquiries, encouragements and investigations as required (Stretch, 2006). During clinical placement mentor investigated the patient, Mr. Smith assisting him by giving him a cup of tea, the nurse asked him if he would like a cup of tea.ââ¬â¢Mr. Smith frustrated to say coffee, vocal, keeping a flowing discussion and prompts and inquiries. The point to which we trust on non- vocal signs for example; face appearance, body actions, or sign, to maintain our verbal production is not regularly fully familiar. The patient who is very unpleasant, or in discomfort might discover these nonverbal signs difficult to produce. The nurseââ¬â¢s duty is to attempt to talk this with Mr. Smith and his family to look at likely choices for avoiding this possible failure in communication. Where verbal communication is condensed through someone who cannot talk very well or intellectual changes, the non-verbal position can deliver a different and actual main approach of both meaning receiving and giving. There are changed channels in which personal communication can be conserved. Maintaining social communication, this benefits to maintain Mr. Smithââ¬â¢s self-esteem. Always try to save speaking, Mr. Smith might discover some of the non-verbal movements helpful and many are understood. Use touch carefully, it is clear that Mr. Smith relaxes at comfort as soon as touch is complex even if it a finger on his shoulders. Inspire efforts to communicate and deliver other types of encouragement with Mr. Smith, touch feeling, face to face languages, body posture, space and equal amongst vulnerable and nurse Barriers such as term practice, phrases, images and knowledge styles have an effect. Semantic obstacles perform a massive part in the program of message from the nurses to the clients or the added method round. Arguments may have a unlike significance even communicating in not in different languages. Therefore while trying to communicate with Mr. Smith these features must be extremely measured earlier, for example no judge mental. Thompson (2003) stated that a barrier gesture is any action, behavior or physical arrangement that discourages the other person from feeling comfortable, thereby reducing their ability to communicate positively and effectively. However Trevithick (2005) suggests that one of the skills which occasionally works to help unlock someoneââ¬â¢s barrier gestures is called a mirroring.Mr.Smith use to sit up in bed with his arms locked, if his vision was good mirroring would have been an good idea to him. For example if they are sitting with arms firmly crossed, you do the same for a while that is if their vision is clear, but this would be a disadvantage to him because the vision condition he has. However, the vision is not clear enough you have to talk to them, slowly they begin to unfold your arms, and you may find that they copy your actions and begin visibly to relax especially to those who can see you. It is worth an occasional try, but it needs to be done marginally, and there is no promise that it works. However active listening can be used as well. Docherty and McCallum (2009) states that ââ¬ËActive listeningââ¬â¢ ensures that everything that a person is trying to say is fully received and understood by the listeners. This will include trying to comprehend not just what the person is saying with their chosen words, but what some of their underlying thoughts and feelings are that may be taken as much by what they do not say and by their body language, as by the words they use. Trevithick (2005) suggest that ââ¬ËActive listeningââ¬â¢ is often used by helping professionals to highlight the significance of the movement. Furthermore Crawford et al (2006) states that sometimes patients just need you to be there, quiet and listening and this can also be achieved using the acronym SOLER.Consequently, a good listener will always pay attention to non-verbal cues too and this encourages the patients to open up giving more information and expressing their concerns. From this it can be deducted that respect is given to a patientââ¬â¢s contribution best when they are listened too. Active listening has several layers to it, it is only hearing the words which are being spoken by people. It is easier than done, which is why such an importance is laid upon it as a core communication skill. The listening skills we need will vary according to the setting of the tasks. For an example, if you are a nurse you may need to produce vital information about a patientââ¬â¢s symptoms in order to reach a correct opinion. This example illustrate the complication of the listing task. The common subject, however, the type of question that can be used in active listening. There are grouped together into two categories which is Open questions and closed questions.Open questions are used when you want to help someone to ââ¬Ëopen upââ¬â¢ about themselves, or to give you some insights into how they feeling or to explore a situation in more depth. When Mr. Smith has been assessed by the nurse on the time he came in hospital. She asked him with her manner voice and she was speaking slowly in order for the patient to hear her well and clearly. Her tone voice overwhelmed Mr. Smith and he then explained his situation to the nurse more deeply, so this helped the nurse to get more information from her patient because he was talking about the topic to the nurse. Open questions do not allow a straightforward ââ¬Ëyesââ¬â¢ or ââ¬Ënoââ¬â¢ response, but it will invite the patients to talk about the topic like what Mr. Smith did to my mentor. Not everyone will feel able to open upââ¬â¢ easily and share their deep thoughts and feelings. Some people needs to go step by step and to be led by interviewer until they gain confidence to go deeper. This is why closed questions also have an important role to play. Closed questions invite a straightforward ââ¬Ëyesââ¬â¢ or ââ¬Ënoââ¬â¢ answer, they are necessary in gathering factual information in as straightforward a way as possible. This questions can give a message to the interviewee that you are in charge, know what you are doing and where you are going, and that they can put their confidence in you. In this case it is not that open questions are good and closed questions are bad, it is a gross magnification. Each of these two has it ââ¬Ës own part to play in a well-balanced effective interview, and it is up to you to judge which will be most suitable and real as the interview explains. Conclusion However, communication is certainly a principle commanding for the real caring. Performance and communication of caring and capability at this time have a main effect on the ability of patients and relations to adjust the update, reflect choices, and adjust to anything deceptions forward. If the update is depressed the right touch, appearance, and compassionate kind terms constantly displays a change. The main ideas that have been debated in this assignment are that of the significance of communicating in nursing and how nurses can progress their communication skills and keep their competence. We must deliver complete care for our patients and the objective is to listen to the person and offer them with concerned understanding. REFERENCES Lee Thayer, (2011). COMMUNICATION A Pocket Oracle for Leaders. 1st ed. Xlibris Corporation: e.g. Houghton Mifflin. Nursing and midwifery council.(2011).guidance on professional conduct for nursing and midwifery students. Retrieved from http://www.nmc-uk.org Timby, B. K. (2005). Fundamental nursing skills and concepts. (9th ed). London, United Kingdom: Williams Wilkins
Wednesday, October 2, 2019
Illegal war in Kosovo :: essays papers
Illegal war in Kosovo President Clinton addressed the people of the United States on June 10, 1999 over the United Statesââ¬â¢ mission in Kosovo. Kosovo is a province of Serbia, which makes this war a civil war. Highlights of his speech outline the goals that he wanted to obtain in this Humanitarian intervention, as he called it. The mission had flaws innate to it from the beginning. The three-tiered goal of the President was clearly stated. The first is to allow the Kosovar people back into their homes. The second is to require Serbian forces to leave Kosovo. The last thing was to deploy an international security force, with NATO at its core, to protect all the people that troubled the land, Serbians and Albanians alike. The message was clear, but was not followed in regards to international law, and NATOââ¬â¢s Charter, and even the three clearly stated missions. The involvement in Kosovoââ¬â¢s war is illegal, and the President of the United States has pushed NATO into committing wartime cri mes and has used the Powers-of-Office in an unconstitutional manner, which resulted in the illegal intervention of a sovereign state. On March 24, 1999, the united countries of North Atlantic Treaty Organization, under pressure from the United States, launched an illegal assault upon a sovereign nation. The evidence is overwhelming that leaders within the United State government sponsored this decision with the extreme perseverance from President of the United States. NATO should have dismissed the request for assault and involvement for it was clearly illegal. Itââ¬â¢s perpetrators showed total disregard for Article One of the NATO Charter, which incorporates by reference the United Nations Charter, Chapter One, Article Two, Sections Three, Four and Seven. These sections make it clear that NATOââ¬â¢s role is to be purely defensive. The aggression that NATO has undertaken did not come from or with approval of the UN Security Council, which NATOââ¬â¢s Charter clearly states numerous times that the UN Security Council will convene and approve of any such matter or action. It is a brutal violation of NA TOââ¬â¢s Charter and of all principles of international law. NATO used military weapons and tactics that run counter to the demands of decency and the nature of a moral people. Cluster bombs are outright illegal. Geneva Convention has concluded the use of cluster bombs and anti-tank and anti-personnel mines as illegal munitions.
Educational Goals and Philosophy :: Personal Narrative Teaching Education Essays
Philosophy Declining, decaying, and disappearing are just a few of the words that can be used to explain the emphasis put on art programs in schools. Art is not seen as a necessity. Standardized tests are now dictating not only what is taught in school but what is more important to teach. Seldom do you see a question pertaining to art or even artââ¬â¢s history on a standardized test. I think that art is a very important subject. Not only does it act as a creative outlet allowing students to express feelings that may be forbidden to act on, but art is deeply rooted in our history from the cave paintings first found in France to the modern uses in advertisement. Our world would be boring without art right down to our cornflakes because they would no longer have a rooster on the box. The fact that I think that art is important is just one reason why I would like to be a teacher. More importantly, I want to do what I love and teach others how to do it as well. As generic as it may sound, I want to broaden studentsââ¬â¢ minds by teaching them that art is a serious creative process. I want them to understand that they can use it to speak, especially when they think no one is listening. In fact until recently, I never wanted to be a teacher at all. I wanted to be a doctor. However along the way, I have had so very inspiring teachers who had a great impact on me. I want to do what I love. I want to be around people, and I want to be around art. I am pursuing a degree in Art Education K-12 and plan to get a masters degree in art once I graduate from Concord College. My ultimate goal is to teach at a high school locally. I feel that the rural schools in this area do not challenge their students enough and do not provide them with information on the various opportunities available to them after graduation. I also realize that the local culture can be blind to the value of art. Educational Goals and Philosophy :: Personal Narrative Teaching Education Essays Philosophy Declining, decaying, and disappearing are just a few of the words that can be used to explain the emphasis put on art programs in schools. Art is not seen as a necessity. Standardized tests are now dictating not only what is taught in school but what is more important to teach. Seldom do you see a question pertaining to art or even artââ¬â¢s history on a standardized test. I think that art is a very important subject. Not only does it act as a creative outlet allowing students to express feelings that may be forbidden to act on, but art is deeply rooted in our history from the cave paintings first found in France to the modern uses in advertisement. Our world would be boring without art right down to our cornflakes because they would no longer have a rooster on the box. The fact that I think that art is important is just one reason why I would like to be a teacher. More importantly, I want to do what I love and teach others how to do it as well. As generic as it may sound, I want to broaden studentsââ¬â¢ minds by teaching them that art is a serious creative process. I want them to understand that they can use it to speak, especially when they think no one is listening. In fact until recently, I never wanted to be a teacher at all. I wanted to be a doctor. However along the way, I have had so very inspiring teachers who had a great impact on me. I want to do what I love. I want to be around people, and I want to be around art. I am pursuing a degree in Art Education K-12 and plan to get a masters degree in art once I graduate from Concord College. My ultimate goal is to teach at a high school locally. I feel that the rural schools in this area do not challenge their students enough and do not provide them with information on the various opportunities available to them after graduation. I also realize that the local culture can be blind to the value of art.
Tuesday, October 1, 2019
Stress Urinary Incontinence
Stress Urinary Incontinence Jordin Lang West Coast University Urinary Incontinence is defined as leakage of urine that is involuntary. Stress Urinary Incontinence is involuntary urine leakage that is due to weakened pelvic floor muscles. It is most commonly found to be a greater problem in women. Estimates say that upwards of 35% of women 65 and older experience some form of urinary incontinence. Stress incontinence is an involuntary loss of urine that happens because of physical activity, like coughing, sneezing, laughing, or exercise. The strength of the pelvic floor muscles is inadequate to support the urinary tract under pressure. The anatomy of the urinary system involved in continence in women includes the bladder, urethra, pelvic floor muscles and sphincter. Urine is stored in the bladder which fills like a balloon to accommodate up to two cups of urine. When a woman urinates the muscles surrounding the bladder contract to squeeze the urine out. Pelvic floor muscles support the uterus, bladder and rectum. There are also many nerves some of which send the signal to the brain that one needs to urinate. What occurs with stress urinary incontinence is that the sphincter and pelvic floor muscles when weakened cannot support the closure of the urethra when increased pressure from the abdomen occurs. Such as coughing, sneezing, laughing or exercising. (ââ¬Å"Medlineplus stress incontinence,â⬠2011) Many women under the age of 65 develop issues with stress urinary incontinence following pregnancy and childbirth. Vaginal deliveries and episiotomies often result in stress urinary incontinence that is temporary and frequently clears up o its own within six weeks following delivery. In addition to pregnancy and childbirth some women may experience stress urinary incontinence during menopause. Estrogen keeps the lining of the bladder and pelvic floor plump and healthy, when estrogen decreases during menopause, some women may develop mild urinary incontinence a result. Risk factors for developing stress urinary incontinence include, being female, childbirth, increasing age, chronic coughing such as occurs with chronic bronchitis and asthma, multiple childbirths, obesity and smoking. (ââ¬Å"Merkmanual: Polyuria,â⬠2011) Diagnosis of stress urinary incontinence is made after assessment of symptoms and in some women a pelvic exam will reveal the bladder or urethra bulging into the vaginal space. Tests may possibly include cystoscopy (inspection of the interior of the bladder), a ââ¬Å"pad testâ⬠, pelvic or abdominal ultrasound and tests to measure post-void residual (amount of urine left after urination). Urinalysis is usually performed as well in order to conclusively rule out urinary tract infection. Health care providers may also perform a q-tip test to measure the angling of the urinary tract when resting and under pressure. An angle of greater than 30 degrees suggests significant pelvic floor weakening. There are three major modes of treatment for stress urinary incontinence. The first is pelvic floor muscle training and behavioral changes such as smoking cessation, losing weight and abstaining from alcohol and excess caffeine. Medications such as anticholinergic drugs, antimuscarinic drugs that block bladder contractions, alpha adrenergic agonist drugs also have been known to aid in the tautness of the urinary sphincter muscles. Surgery is often only indicated after all other treatments have failed. Anterior vaginal repair and retropubic repair are most common surgeries to treat severe stress urinary incontinence. (ââ¬Å"Medlineplus stress incontinence,â⬠2011) Stress Urinary incontinence is surely a troublesome and perhaps embarrassing ailment. An ailment that can most definitely can interfere with a patientââ¬â¢s quality of life. With proper medical treatment, prognosis is generally good. References Medlineplus stress incontinence. (2011). Retrieved from http://www. nlm. nih. gov/medlineplus/ency/article/000891. htm Merkmanual: Polyuria. (2011). Retrieved from
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