Free Essays on Being Honor Bred

Being Honor Bred In the short story â€Å"Being Honor Bred† by Dominick Yezzo, the creators shows how we as people experience various stages in settling on our choices. These stages are known as the Kohlberg’s moral dynamic stages. First the story starts with him being at the bar and seeing that Mom-San was excellent yet she had a spouse and he regarded that. Here we see Stage One Obedience and Punishment Social Orientation. He was being faithful by regarding Mom-Sam and her better half in such a case that he didn't then his discipline would get beat up by her significant other. At that point as he enters the other bar he sees this whore and goes into a room behind a bar to have intercourse, despite the fact that he portrays her like an ugly woman. Here his choice depends in front of an audience two Individualism, instrumentalism, and trade. He is trading delight for cash. Despite the fact that she said just five dollars he chooses to give him all that he had in his pocket. He does this since he feels that she is just doing this to bring in cash to endure so to show regard for her he gives her more cash then she inquired. Later on he goes into stage five implicit agreement. He goes into this phase when he under stands that he may pass on. He begins appealing to god and makes an agreement with him that in the event that he ensures him and doesn’t let him pass on, at that point he won't submit further sins. â€Å"O my god I am heartly upset for having annoyed thee-and I loathe the entirety of my wrongdoings as a result of thy just discipline yet above all else in light of the fact that I affront thee my god†¦Ã¢â‚¬  Here we see him saying that god is rebuffing him for all the transgressions he has done. His ethical thinking is in stage one, the compliance and discipline social direction. When Bred was assume to shot the Vietnamese kid he doesn’t on the grounds that he understands that he is only a kid like him. He understands that executing is a wrongdoing and that he ought not do it. This is stage five implicit understanding social direction. â€Å"The ex... Free Essays on Being Honor Bred Free Essays on Being Honor Bred Being Honor Bred In the short story â€Å"Being Honor Bred† by Dominick Yezzo, the creators represents how we as people experience various stages in settling on our choices. These stages are known as the Kohlberg’s moral dynamic stages. First the story starts with him being at the bar and seeing that Mom-San was wonderful yet she had a spouse and he regarded that. Here we see Stage One Obedience and Punishment Social Orientation. He was being loyal by regarding Mom-Sam and her better half in such a case that he didn't then his discipline would get beat up by her significant other. At that point as he enters the other bar he sees this whore and goes into a room behind a bar to have intercourse, despite the fact that he depicts her like an ugly woman. Here his choice depends in front of an audience two Individualism, instrumentalism, and trade. He is trading joy for cash. Despite the fact that she said just five dollars he chooses to give him all that he had in his pocket. He does this since he feels that she is just doing this to bring in cash to endure so to show regard for her he gives her more cash then she inquired. Later on he goes into stage five implicit agreement. He goes into this phase when he understands t hat he may bite the dust. He begins petitioning god and makes an agreement with him that in the event that he secures him and doesn’t let him bite the dust, at that point he won't submit additional wrongdoings. â€Å"O my god I am heartly upset for having insulted thee-and I despise the entirety of my wrongdoings in view of thy just discipline however above all else in light of the fact that I affront thee my god†¦Ã¢â‚¬  Here we see him saying that god is rebuffing him for all the transgressions he has done. His ethical thinking is in stage one, the compliance and discipline social direction. When Bred was assume to shot the Vietnamese kid he doesn’t in light of the fact that he understands that he is only a kid like him. He understands that executing is a wrongdoing and that he ought not do it. This is stage five implicit understanding social direction. â€Å"The ex...

As You Like It Act Two Scene 1

Q. Remark on Act 2, Scene 1. Ans: this entry is a concentrate from Shakespeare play â€Å"as you like it† and this scene happens in the Forest of Arden. The scene starts with the passage of the banished duke and master Amiens who are dressed foresters. The adjustment in attire quickly motions toward the crowd an adjustment in condition and is likewise an immediate difference to the past demonstration where everybody is dressed as squires. The duke starts to discuss peaceful life which is a significant topic in the play.He depicts the upsides of woodland life to be far more prominent at that point court life and the crowd gets the inclination that life is unquestionably progressively agreeable and loose in the nation rather than the occupied, exciting life they drove in the court. The duke says ‘hath not old specially designed this life all the more sweet. ’ But in spite of the romanticized idea of the duke’s portrayal of backwoods life, it likewise has sens ible references, for example, the ‘winter wind’ and the ‘poisonous toad’.This entry additionally gives an understanding into the duke’s character. The duke can take a gander at the advantages of woodland life in the wake of having lived in court and having been so shamefully banished from it. This shows extraordinary persistence, insight, and flexibility on his part. His affectability towards people around him is featured when he says it upsets him that they chase venison it its own territory. The principal master at that point proceeds to present Jacques in spite of his nonattendance on stage.He reviews Jacques’s misrepresented and emotional reaction to the perishing deer and how he starts to lecture the relinquishment of the deer by its group. This over-emotional nature of peaceful life is utilized as entertainment to adjust the dramatization that occurred in court life, and to a degree its blamelessness which is appeared by the way that the incredible catastrophes occurring in the timberland is biting the dust venison. This thusly features the more detestable and grievous nature of court life where you have plotting and dangerous brothers.On a bigger scope, this scene likewise presents a complexity between the two sibling duke Frederick, and duke senior. In act 1 duke Frederick is appeared as a self-included, neurotic, and force fixated character who does not have the liberality, pardoning, and insight that his senior sibling, duke senior have. This scene when all is said in done gives a knowledge into duke senior’s character and presents a complexity among peaceful and court life while giving the crowd a break from the courts indecencies.

Cultural Safety of The Nurses Practices †MyAssignmenthelp.com

Question: Talk about theCultural Safety of The Nurses Practices. Answer: Fearlessness as the way of life Fearlessness or confidence will be identified with the social wellbeing of the medical caretakers rehearses. It will furnish the medical caretakers with social affectability. It will likewise forestall the negative recognitions and will empower them to take part in experienced assistance Intelligent practice by utilizing Gibbs intelligent model This model will accordingly bolster the medical caretakers to work with self-assurance in the general condition. This will be basic to build up the social act of the fearlessness among the medical caretakers. Depiction Self-assurance as a culture will shape the territory of thenursing calling among the medical caretakers. It will permit the attendants to put them predominant in their undertakings, see the world in a loyal way. The medical caretakers ought to have the trust on their own capacities and characteristics and play out any undertaking without any problem. The nature of self personality will empower to play out their obligations in socially able way. The individual culture of fearlessness will help in their expert practice. Emotions Since the personality goes about as the social acknowledgment, there ought not be any contrary acknowledgment of the self character viewpoint. The self-assurance implies a ton to the medical attendants. This is on the grounds that it will give a sentiment of individual fulfillment and will likewise help the patients by giving them best quality administrations. The administrations are to be given regardless of the individual sex, occupation, financial status, ethnic foundations, relocation. Assessment Assessment of fearlessness indicated that this code of callings rehearsed by the medical attendants is extremely useful. The medical attendants must utilize this self personality in their training since it will assist them with managing any basic circumstance in regards to the distinctions in societies. The medical attendants must be prepared and assessed to see that their self-assurance is available. So as to accomplish fearlessness the attendants must set their objectives and be roused. Fearlessness in any work will assist with satisfying the standards of the social security in wide range. Investigation Thenursing and maternity care committee code of expert direct expresses that self-assurance will n be helpful to give the best quality administrations to the patient in any condition. This is additionally fundamental in advancement of the learning among the medical attendants. This will assist with perceiving the distinctions and similarly acknowledge the assorted variety in human conduct and social structure. End Fearlessness as a part of self personality will be useful for the medical caretakers to regard all the conduct of the various individuals. This will assist with settling compelling and evenhanded help. Activity plan Social wellbeing learning will remember the result of the fearlessness for the nursing practice. They should guarantee and show the adaptability in the relationship with individuals who are not quite the same as themselves. Self-assurance and confidence will likewise give energy in the social capability in human services. As a wavetool As a wavetool, I will remain in the situation to be able enough to give great human services to all the socially various individuals in special manners. With confidence and certainty I may initiate the equivalent to others. This will be a method for demonstrating admiration to all the individuals with various social foundations. This has assisted with changing a great deal from the past circumstance. Social character likewise is a piece of individual personality. Subsequently adjustment of the individual characteristics will assist them with paying appreciation to others convictions (Potter et al, 2016). The new data that I can look for is to know all the social depiction of the patient that will be dealt with. This should be possible by conveying them if conceivable. From the start, there could be a test while managing contrasts in estimations of others. The individual confidence can impact them and cause them to comprehend a treatment strategy. Now and again the treatment technique s can hurt others thought and that can be expelled without anyone else character. In this part the perusing from the Cultural security in Aotearoa that has helped me to comprehend the ideas of social wellbeing (Banks, Kelly, 2015). References Banks, L., Kelly, M. (2015). Social wellbeing and theNursing Council of New Zealand.Cultural Safety in Aotearoa New Zealand, 26. Potter, P. A., Perry, A. G., Stockert, P., Hall, A. (2016).Fundamentals of Nursing-E-Book. Elsevier Health Sciences.

Surfactant Protein B Deficency - Free Essay Example

Abstract Surfactant Protein B is critically responsible for the functioning of healthy lungs. In the absence of Surfactant Protein B adverse lung condition such as acute respiratory distress syndrome arise in infants victims. Due to this, SP-Bs condition has drawn the attention of medical researches. Physiological ailments such as lung failure, molecular defects and cellular deficiencies in infants are associated with opportunistic to Surfactant Protein B syndrome. This relation and linkage stirs up the development of various treatment strategies of neonatal respiratory diseases. Surfactant Protein B syndrome was first identified as the main cause of congenital alveolar proteinosis, a condition where two infants from the same mother exhibit distinct histopathologic physical appearance, since their alveoli contain lipid rich acid Schiff-positive and granular proteinaceous material. Infants suffering from Surfactant Protein B syndrome exhibit foamy alveolar macrophages and desquamated alveolar epithelial cells. Acquired Sporadic and congenital alveolar proteinosis are the main clinical forms of alveolar proteinosis associated with infants. Since SP- B syndrome has become rampant and established in infants with respiratory distress, this paper evaluates the causative agents and impl ications of SP-B giving various recommendations for the use of Surfactant therapy in diverse clinical situations. This includes subjecting newborns to prophylactic natural surfactant therapy immediately after incubation. By so doing, paper primarily relates Surfactant Protein B syndrome to the clinical setting while exploring the implications for the neonatal nurse practitioner. Definition of the Disease, Incidence SP- B Deficiency is an inherited illness by newborn babies leading to severe respiratory failure in the early stages of life and is resistant to surfactant therapy, mechanical ventilation and extracorporeal membrane oxygenation. Genetic examination of infants suffering from Surfactant Protein B Deficiency shows identical mutation in surfactant protein gene gotten in many unrelated kindred. This interrupts the functioning and composition of pulmonary surfactant. Reported incidence of approximately 0.8 infants out of 1000 obtained from Missouri Department of Health Newborn Screening Program indicates that Surfactant Protein B syndrome is a major factor in causing pathophysiology of respiratory distress syndrome (Refere and Wilmott, 2012). The inability of young infants to produce surfactant and the structural immaturity of their lungs increases with the increase in gestation period. This indicates that out of 1000 babies, about 25% of them are caught with SP-B syndrome at 34th week add ing up to 80% babies affected in a period of less than 54th week (Kendig and Wilmott, 2012). The 121ins2 mutation never showed in South African or Korean cohorts instead, there was similar correlation and frequency in Norwegian and Missouri cohorts. This indicated 173 incidences of infants suffering from Surfactant Protein B syndrome out of every 4000 samples of infants from Missouri cohort that were screened (Refere and Wilmott, 2012). In the incidence describing two siblings with the condition of histopathologic due to congenital alveolar proteinases, examined lung tissues reveals the absence in one of the making blocks of surfactant protein called SP-B protein . This suggests that the incident of Surfactant Protein B syndrome causes respiratory failure in children possessing congenital alveolar proteinosis, which is an inherited deficiency version of SP-B through pretranslational process. The two siblings had a condition called congenital pulmonary alveolar proteinosis and in particular, deficiency of Surfactant Protein B. These SP-B disease incidences support the hypothesis attributing inherited SB-P syndrome as being the cause of respiratory diseases in babies bellow the age of one year. Some evidence portrays a combination of synthetic SP-B peptide and surfactant phospholipids displaying physical characteristic similar to the ones exhibited by native surfactant (Refere and Wilmott, 2012). Disease Etiology and Pathogenesis Surfactant Protein B syndrome is caused by inherited mutation in the form of surfactant protein B gene on chromosome 2.This leads to complete or in some cases partial absence of Surfactant Protein B, a condition referred to as autosomal recessive condition. Children exhibiting respiratory distress immediately after birth despite assisted ventilation need to be screened for Surfactant Protein B syndrome. Also diagnosis of both the child and parent for genetic mutation possibilities is necessary. SP-B deficiency is associated to poor prognosis and therefore infants with this disorder barely survive beyond the first few months after birth unless they are subjected to processes of lung transplantation (Popper, 2017). The occurrence of surfactant dysfunction due to inherited mutation causes deaths to over 1 million infantsworld over (Gleason, Devaskar and Avery, 2012). Surfactant Protein B syndrome have different inheritance patterns that depend on diverse genetic cause. SP-B is caused by mutation process in SFTPG gene, which is an instruction responsible for making Surfactant Protein B from a distinct gene. This causes abnormality in the composition of phospholipids and proteins responsible for normal breathing. Without normal surfactant B protein, the various tissues and cells surrounding the air sacs of the lungs bond together during the periods of exhalation due to surface tension. This eventually causes the alveoli to collapse and eventually causes Surfactant Protein B syndrome. The presence of surfactant in the system of infants, aids in lowering surface tension responsible for easy breathing and avoiding lung collapse. Corrupted composition of Surfactant Protein B causes the surface tension that lowers properties of surfactant around the lung tissue. In addition, Surfactant Protein B syndrome is caused in circumstances where SP-B fails to form lamella bodies, which are responsible for packing the phospholipids and proteins making up surfactant around the lungs cells of the infants. This prevents the vital processes that surfactant protein must undergo to mature up and become functional. In addition, Surfactant Protein B syndrome is caused through malfunctioning of ABCA3 genes, which are responsible for the production of proteins, involved in the synthesis of surfactant. Without production od surfactant in the infants, the tissues that surrounds the air sacs of the lung will clump together after exhalation due to surface tension force, resulting in difficulty during breathing and collapse of alveoli as a result of Surfactant Protein B syndrome (Cremona et al, 2010). This causes infants to develop difficulties in filling the lungs with air and eventually impairs the delivery of oxygen to the body. The ABCA3 is also responsible for packing and transporting phospholipids and proteins around alveoli where through molecular interaction Surfactant Protein B is formed. An impaired ABCA3 protein retards the formation of lamellar bodies which are responsible for the processing of surfactant B protein hence causing the condition of Surfactant Protein B syndrome. This will caus e infants to have respiratory difficulties since there is premature formation of Surfactant Protein responsible for effective functioning of the lungs. Pulmonary surfactant is composed of lipids and protein compounds which in the long run reduce the surface tension between the regions holding air and liquids in the lungs of infants. Deficiency of pulmonary surfactant is the fundamental cause of respiratory disorder in babies bellow one year old. Various specific proteins identified to be associated with surfactant function include glycoprotein responsible for surfactant metabolism and host defense (SP-C) and hydrophobic proteins which contain low molecular mass to facilitate the adsorption rate of surfactant phospholipids into air-liquid interphase (Broaddus et al 2015). Surfactant Protein B is responsible for positive metabolism and functioning of body systems .However, inherited Surfactant Protein B syndrome in infants causes respiratory diseases. Phenotype and Natural History The phenotypic unpredictability of Surfactant Protein B syndrome is attributed to inherited surfactant protein deficiency which is an often cause of respiratory failure in children bellow the age of one year. This is due to phenotypic mutation of frameshift phenotype in families with either two or three of total siblings exhibiting Surfactant Protein B syndrome. Infants with abundant SP-B suggest phenotypic heterogeneity in CAP (Cottin, Cordier and Richeldi, 2015). Lung ultrastructural defects including reduced number of lamellar bodies, low secretion of surfactant lipids and absent tubular myelin indicates phenotypic derangement of surfactant metabolism. The natural history of Surfactant Protein B syndrome is dated back form the year 1993 in a full-term infant of bellow one year old. With rare exceptions, SP-B deficiency is considered as the fatal diseases having only one therapeutic option of lung transplantation. Infants with ABCA3 gene syndrome exhibits severe lung ailment due to SP-B deficiency. This condition may become progressively worsening with time and may results in neonatal lung disease. The overall slim survival chances of infants with Surfactant Protein B syndrome, results from ascertainment bias instead of reflecting all the natural history spectrum of the disease. No formal research has yet evaluated the genotype-phenotype correlation of Surfactant Protein B syndrome but complete mutation on the overall alleles has been associated with remote onset and severity of the disease. Whereas interaction with older patients undergoing milder experience of Surfactant Protein B syndrome usually have one missense mutation that have the possibility of retaining some functional activities of surfactant protein. The natural history on lung ailment due to Surfactant Protein B syndrome is highly associated to genetic mutation as reported in the newborn. Adults with Surfactant deficiency may show asymptomatic condition for a long time before their lungs are altered due to such hereditary gene mutation. This makes the SP-B condition variable and difficulties in interpretation of potential drug therapy. There is lack of specific therapy related to Surfactant Protein B syndrome instead doctors have always insisted on pulse dose steroids as a glucocorticoids goes up. Also, there has been the use of Hydroxychloroquine and azithromycin, but their efficacy is limited to anecdotal findings. Lung transplant has been conducted on infants with end-stage lung diseases because of Surfactant Protein deficiency and mutations (Cottin, Cordier and Richeldi, 2015). Management In managing Surfactant Protein B syndrome in infants, several tests have been done to help in diagnosis process. This include conducting laboratory testing to rule out the possibility of occurrence of diseases with same symptoms with Surfactant Protein B syndrome, such test may include cystic fibrosis or immunodeficiency (Polin, Fox and Abman, 2011). To clearly determine the various mutations in the genes of then child, a high resolution computerized technology is required for scanning of the lungs such as bronchoscopy conducted to verify for infections, signs of aspirations into the respiratory surfaces and eventually inflammation. However, in older children, pulmonary functioning testing is in many occasions performed in outpatient environment and often indicate decreased lung functioning. In addition, lung biopsy may be conducted to ascertain useful information with the possibilities of ruling out other respiratory diseases with exact clinical presentation. The management and prognosis of Surfactant Protein B syndrome is variable depending on the seriousness of the infant condition. Some situations call for lung transplantation while others do not. In all circumstances of Surfactant Protein B syndrome, optimizing nutrition for effective growth and prevention of respiratory infections are of importance to the overall health. In addition, managing Surfactant Protein B syndromes require assisted breathing through ventilator. Currently there is no specific clinical treatment of Surfactant Protein B syndrome hence for the victim infants, surfactant replacement therapy serves to improve the respiratory status transiently even though it is not the most appropriate in treating Surfactant Protein B syndrome. Consideration of lung transplantation in viable, however, with critically ill and unstable infant, the pre-transplant period is attributed to possess high chances of the child dying. A 5 years old infant has about 50 survival chances in case s of lung transplantation. In older children with slighter version of Surfactant Protein B syndrome, corticosteroids and hydroxychloroquine are considered as appropriate methods to manage SP-B deficiency (Shanley, Wheeler and Wong, 2007). Recurrence Risk and Genetic Counseling Surfactant Protein B syndrome recurrence risk is evident amidst people who trace their ancestry to a precise geographical location. Individuals in an ethnic cluster possess high probability of sharing certain versions of their genes. In genetic counseling, keeping family medical history is vital. These records can hint on medical conditions that may frequent the family. Mastering the arrays of Surfactant Protein B syndrome in the family history puts health care professionals in the right position to diagnose whether individual or related family members of the coming future generation may be at risk of developing Surfactant Protein B syndrome. Family medical history pertaining Surfactant Protein B syndrome discloses people or families with high prevalence of having SP-B syndrome such as respiratory diseases, lung failure and breathing difficulties. These complex disorders are results of influence of combination of specific genetic factors, environmental condition and the choice of lif estyle. Surfactant Protein B syndrome history among families can also avail information about the probable risk of rare versions of the diseases caused by mutation in single gene. Knowing ones family medical history regarding Surfactant Protein B syndrome, will enable an individual to take steps in reducing the risks of contracting such conditions. This can be achieved through frequent screening of new born children, adopting healthier lifestyle and subjecting newborns to ventilated surrounding. Victim parents as well can learn to get into regular exercise, quit smoking and check on diet to help in reducing the possibilities of mutations leading to infants inheriting Surfactant Protein B syndrome associate with respiratory and lung complications. Clinical genetic counseling recommends talking to families about their medical conditions as the sure way of obtaining medical information relating to family history. Additionally, retrieving medical records from obituaries and death certificates do cuments can as well help in complete assessment of family medical history. This information is vital and should be kept up-to-date and to be shared by health care providers in case of need (Polin,Fox and Abman ,2011). It is fundaments to note that chances of passing on Surfactant Protein B syndrome applies during pregnancy. If a couple has a child with SP-B deficiency, the probability of having successive children suffering from the same syndrome is 25% since having one victim infant does not prevent inheritance of such condition by future children (Pacholok and Stuart ,2011). Clinical counselling admits that even though the chances of genetically inheriting Surfactant Protein B syndrome appears to be straightforward, other factors such as children family history and outcomes of genetic testing at times aggravate those likelihoods. Additionally, some infants suffering from lack of Surfactant Protein B due to genetic mutation hardly develop any health problem otherwise in extreme cases may experience a mild symptom of the illness. I any case a disease that prevails in a family lack a precise inheritance pattern, foreseeing the probability that a child will adopt the condition seems very difficult a nd only Recurrence risk and genetic counseling can help individuals understand these chances and translate into individuals making informed maternity decisions about the health of their children and their health as well. This has the effect of simplifying estimations on the chances of developing Surfactant Protein B syndrome by infants and passing it on to the next generation through mutation (Popper, 2017). Implications for Advanced Practice Nursing Maternal status has implication on the fetus and neonatal as indicated by advanced practice nursing. This is because both the body system of the fetus and the mother coexist together for the whole nine months period (Popper, 2017). The body size of the woman and health status has the capability of causing disorders in the infant. The status of the woman prior to pregnancy also has implications on the future pregnancies such that when previous births are characterized by Surfactant Protein B syndrome therefore the future pregnancies and births is susceptible to surfactant deficiency. Disorders due to lack of surfactant protein in the system of an infant or other similar conditions can possess neonatal or fetal effects. In addition mothers can transfer SP-B disorder as result of abruption and bacterial exposure during pregnancy. This makes it fundamental to understand maternal complications and their effects on infants as imperative part to practicing nurses and other caregivers. Exogenous surfactant therapy has proved well established in the new born children experiencing respiratory distress. Many aspects of SB-P Implications for advanced practice nursing have been evaluated in systematic reviews and high-quality trials giving variety of clinical situation in handling surfactant deficiency in infants. Advanced care nursing has evaluated substances such as albumin and meconium as among factors inhibiting surfactant functioning. Caregivers have proposed more than 50% oxygen availability for those incubated infants with meconium aspiration syndrome due in insufficient surfactant Protein in their system (Kendig and Wilmott, 2012). Surfactant lavage for both albumin and meconium aspiration syndrome are effective but growing resistance implication requires for further study since there has only been a small controlled trial. This controlled trial showed possible short term physiological benefits and it lacked clinically significant benefits as compared to various groups with restricted rescue surfactant therapy. Also, the application of surfactant replacement therapy in neonatal SP-B syndrome been inadequately studied. A recent analysis of infants of closely related ages, having respiratory failure showed that those infants exhibiting the presence of sepsis and were treated with surfactant had a 40% decrease in the need for extracorporeal membrane oxygenation, showing surfactant therapy to be beneficial. Advanced practice nursing recommends sick newborn infants suffering from SP-B syndrome and other related respiratory distress to be subjected to exogenous therapy (Shanley, Wheeler and Wong, 2007). Persistent respiratory insufficiency in infants due to Surfactant Protein B syndrome is common in children of less than 30 week gestation. However, the status of S P- B has not been studied and clearly evaluated in this condition. Advanced care rates 75% chronically ventilated premature infants to possess a specifically analyzed surfactant aspect with abnormal role. This observation was attributed to clinically evident respiratory deterioration. This speculates that incidents of infection are among the causes of reduced content of SP-B in surfactant, resulting in surfactant dysfunction and retardation of respiratory condition in infants. This if the most fundamental description by Advanced practices nursing of surfactant dysfunction and the functions of hydrophobic surfactant protein in chronically ventilated premature infants (Cremona et al, 2010). Conclusion In conclusion, it is not known whether all children showing conditions of congenital alveolar proteinosis are all deficient of SP-B. However, SP-B is responsible for the development of myelin. The absence of myelin is associated with other genetic deficiencies other than Surfactant Protein B syndrome. This indicates that histopathological appearance of the alveoli proteinosis emanates from diverse conditions other than SP-B deficiency or deficiency of surfactant proteins which are yet to be determined. Besides SP-B deficiency, there are diverse surfactant dysfunctions that are genetically caused. Surfactant administration through endotracheal intubation is the only means proven to be safe in delivering surfactant to the lungs of SP-B deficiency victims. All attempts to administer surfactant through intrapartum hypo-pharyngeal instillation have always proved futile therefore relating Surfactant Protein B syndrome to the clinical setting and exploring the implications for the neonatal nurse practitioner. Reference Refere Kendig, E. L., Wilmott, R. W. (2012). Kendig and Chernicks disorders of the respiratory tract in children Philadelphia, PA: Saunders/Elsevier nces Kendig, E. L., Wilmott, R. W. (2012). Kendig and Chernicks disorders of the respiratory tract in children Philadelphia, PA: Saunders/Elsevier Popper, H. (2017). Pathology of Lung Disease: Morphology Pathogenesis Etiology. Berlin, Heidelberg: Springer Berlin Heidelberg. Gleason, C. A., Devaskar, S. U., Avery, M. E. (2012). Averys diseases of the newborn. Philadelphia, PA: Elsevier/Saunders Cremona, M., Espina, V., Luchini, A., Petricoin, E., Liotta, L. A. (January 01, 2010). Chapter 9 Clinical Proteomics and Molecular Pathology. Broaddus, V. C., Mason, R. C., Ernst, J. D., King, T. E., Lazarus, S. C., Murray, J. F., Nadel, J. A., Gotway, M. (2015). Murray Nadels Textbook of Respiratory Medicine. London: Elsevier Health Sciences. In Cottin, V., In Cordier, J.-F., In Richeldi, L. (2015). Orphan lung diseases: A clinical g uide to rare lung disease. Polin, R. A., Fox, W. W., Abman, S. H. (2011). Fetal and neonatal physiology. Philadelphia, PA: Elsevier Saunders. Shanley, T. P., Wheeler, D. S., Wong, H. R. (2007). Pediatric critical care medicine: Basic science and clinical evidence. London: Springer. Polin, R. A., Fox, W. W., Abman, S. H. (2011). Fetal and neonatal physiology. Philadelphia, PA: Elsevier Saunders. Pacholok, S. M., Stuart, J. J. (2011). Could it be B12?: An epidemic of misdiagnoses. Fresno, Calif: Quill Driver Books

The Theme of Patriotism in Persepolis - Free Essay Example

Sample details Pages: 2 Words: 680 Downloads: 1 Date added: 2019/07/01 Category Literature Essay Level High school Tags: Persepolis Essay Did you like this example? Persepolis is an extended description of the historical conditions during Marjanes life. Marjane had a patriotic passion for her country Iran. When she was a young girl, there was a cultural revolution in Iran. Don’t waste time! Our writers will create an original "The Theme of Patriotism in Persepolis" essay for you Create order Students (including Marjane) were forced to were a veil during school. Marjane didnt quite understand the reasoning behind this and thought she should have her own choice in religion. Many were teetering this concept of the cultural revolution. Eventually, the French non-religious school she attended is halted and the sexes are schooled separately. Growing up, Marjane and God have several conversations, and she is set on being a prophet when she grows up. Throughout this graphic novel, Marjane always exemplifies a spirit of patriotism, boldness, freedom, love, and individual thought. Her pure, childlike heart desires both equality and an elimination of suffering. When she expresses her intention of becoming a prophet, Marjane is mocked, but her parents support her and are unalarmed by her wishes. After she hears her parents concerned about the fire that killed 400 people at a nearby theater, Mr. Satrapi decides to explain the events of the Revolution to her. During this story, Marjan e learns that her grandfather was a prince prior to Reza Shahs rise of power, which would excite any child. Her grandfather became a communist and was imprisoned. While in prison, her grandfather was tormented by going into cells overflowing with water, which Marjane has a difficult time processing. During her grandmothers visit, she explains to Marjane the poverty and hardships they faced during her husbands imprisonment. The Satrapis maid Mehri was given into their care as a child. Marjane and Mehri grew into a sisterly bond. Mehri falls in love with the boy next door and has Marjane write her love letters since she didnt know how to write. Once Mr. Satrapi discovers this love connection, he talks to the boy and tells him Mehri is a maid. Then, the boy is no longer interested. In this time, social classes arent combined. This initially upsets Marjane significantly. She believed her father to be a good man and felt his actions were unjust and unloving. Therefore, she and Mehri attend marches, which aggravates her parents since the marches were formidable. As Shahs rule worsens, many lose their life. Shah travels to the United States and eventually relinquishes his rule. The previously imprisoned Siamak and Mohsen visit the Satrapi family and explain their experiences in prison. Soon after, Marjane discovers that even her Uncle Anoosh was held captive. However, her Uncle Anoosh was identified as valiant for his position in government to hinder the power of Shah, which ultimately declared independence from his brutal rule. Unfortunately, Anoosh is later arrested and killed for a false accusation about being a Russian spy. Due to this event, Marjane completely rejects God and her desire to be a prophet. Around this time, the Iran-Iraq War starts. From this event, her life seems to spiral into a world of pain and shattered expectations. Marjanes hopes of traveling to the U.S. are squandered when the Americans are coerced out of Iran. Those of religious authority closed schools to make alterations, which also harms Marjanes hopes. Shes even assaulted because her veil isnt on. The war only worsens, and her friend Mali comes to live with her as a result of it. Murdered children, bombing raids, deaths of millions, and the death of her hopeless Uncle Taher become enough hardships for Marjane to become a rebel. After her parents return from Turkey, Marjane becomes westernized and is nearly arrested but let off without arrest. One day, her neighborhood was bombed, and her neighbors house was wrecked. She even noticed her friends arm protruding from the debris. After all these disastrous events, her parents make the executive decision to send her to Austria for her safety. She spends the last night with her beloved grandmother and hea ds to the airport the next day. When she turns back to see her parents from afar, her mother had fainted. Yet, she hoped to see her parents again one day.

The Scholarly Journal Childhood Education - 1582 Words

The purpose of the research article from the scholarly journal Childhood Education (2014) is to discuss the arguments currently surrounding the topic of media, technology, and screen time (MeTS) and its use with young children, and create an international dialogue on what steps should be taken in the future on how to responsibly use MeTS in a way that is productive and developmentally appropriate. The authors first discuss what global issues currently stand referring to MeTS, citing statistics of television, video game, and computer exposure among young children (children younger than 6). It is described that in the United States alone, â€Å"83% of children under 6 years old use†¦two hours with a television and DVD player, 1 hour with video†¦show more content†¦One source in particular, Clements and Sarama, (2003) present findings gathered from hundreds of previous studies. The data collated by these researchers in favor of using MeTS in various ways, such as teachi ng social skills via television programs. Other sources indicate children benefitting from computer use by displaying â€Å"high levels of intelligence, language skills, conceptual abilities, and problem solving†¦ [and that] playing games has been shown to be an important component of promoting visual and kinesthetic response-related skills† (Howard-Jones, 2011). In addition, one of the main proponents for using MeTS in the classroom detailed in the article is the exceptional education community, citing students with disabilities â€Å"such as Down syndrome, autism spectrum disorder, and deafness, gained learning advantages through computer tablets and iPads† (Shah, 2011) as well as the use of the Nintendo Wii to promote physical development and teaching social skills (Maliszewski, 2011). While many arguments are made for the using MeTS in a positive way, the counterargument voices speak just as loudly. The second argument posed, the concerns raised about MeTS use , contains many sources of literature which discuss content of media presented, which types of media are exposed, and the frequency of exposure to young children. The main advocate for limiting MeTS to young children cited in the article is the Campaign for a Commercial-Free Childhood Alliance for Childhood

Perspective and Stereotype in Western Detective Novels free essay sample

The writer examines novels by Agatha Christie and Joseph Conrad, and discusses characters and scenes in light of prejudices the authors may have held, bringing as evidence Chinese (non-Western) detective novels. We can also see the kind of xenophobic stereotypes that Christie used when we compare her works to detective fiction taken from an entirely different cultural tradition: When we think about the detective novel, we are most likely to see in our mind?s eye Sherlock Holmes?s deerstalker cap or hear the Belgian accents of Hercule Poirot. The genre of detective fiction ? with its traditional elements of the seemingly perfect crime, the wrongly accused suspect at whom circumstantial evidence points (in many cases, the bungling of the dim-witted police (in opposition to the cleverness of the private operator), the astonishing powers of observation and superior mind of the detective, and a startling and unexpected denouement (quite likely taking place in a parlor) in which the detective reveals how the identity of the culprit was ascertained ? seems a quintessentially Western concept. We will write a custom essay sample on Perspective and Stereotype in Western Detective Novels or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page