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Sunday, May 24, 2020

Sexual Assault Prevention Training For Protecting Male...

Sexual Assault Prevention Training to Protect Male Servicemembers According to the GAO report, Sexual Assault Prevention and Response Office (SAPRO) officials have focused the SAPR program on females.28 Even this year’s Presidential Proclamation for the National SAPR month only addresses female assault victims.29 In the past, male victims were discussed as just a small percentage in training (1%). When looking at the raw numbers, that is where you can see there are more males assaulted than females annually; 10,600 males to 9,600 females.30 Any number is too much, but the services need to do more to educate the force about male victims in order to improve the environment for reporting It starts with better training materials and videos to address prevention and response for male victims. Most of the training focus has been on females where sexual assault is perceived as sexual gratification. Sexual assault against males is not the same and are acts of violence, domination and humiliation against the member, not â€Å"acts motivated by sexual attraction.†31 Men are more likely to experience â€Å"repeated physically violent assaults† that occur in the context of hazing.32 Education is key to highlighting these differences and addressing the root cause, hazing in the workplace. Using multiple male examples, based off real life events will bring stories to the numbers. The more the military discusses male sexual assault as an act of violence and physical domination, the more we can get

Sunday, May 17, 2020

Grover Cleveland, 22nd and 24th U.S. President

Grover Cleveland (March 18, 1837–June 24, 1908) was a New York lawyer who went on to become governor of New York and then president of the United States. He remains the only American president to serve two non-consecutive terms in office (1885–1889 and 1893–1897). A Democrat, Cleveland supported fiscal conservatism and fought against the cronyism and corruption of his time. Fast Facts: Grover Cleveland Known For: 22nd and 24th president of the United StatesAlso Known As: Stephen Grover ClevelandBorn: March 18, 1837 in Caldwell, New JerseyParents: Richard Falley Cleveland, Ann NealDied: June 24, 1908  in Princeton, New JerseyEducation: Fayetteville Academy and the Clinton Liberal AcademyAwards and Honors:  Namesake for numerous parks, roads, schools; likeness on a U.S. postage stampSpouse: Frances FolsomChildren: Ruth,  Esther, Marion,  Richard, Francis Grover, Oscar (illegitimate)Notable Quote: â€Å"A cause worth fighting for is worth fighting for to the end.† Early Life Cleveland was born on March 18, 1837, in Caldwell, New Jersey. He was one of  nine offspring of Ann Neal and Richard Falley Cleveland, a Presbyterian minister who died when Grover was 16. He started attending school at the age of 11, but when his father died in 1853, Cleveland left school to work and support his family. He moved to Buffalo, New York in 1855 to live and work with his uncle. He also studied law there on his own. Despite the fact that he never attended college, Cleveland was admitted to the bar in 1859 at age 22. Career Before the Presidency Cleveland went into law practice and became an active member of the Democratic Party in New York. He was the sheriff of Erie County, New York from 1871–1873 and gained a reputation for fighting against corruption. His political career then led him to become the mayor of Buffalo in 1882. In this role, he exposed graft, lowered the costs of transportation, and vetoed pork barrel allocations of funds. His reputation as an urban reformer appealed to the Democratic Party, which tapped him to become governor of New York from 1883–1885. Marriage and Children On June 2, 1886, Cleveland married Frances Folsom at the White House during his first presidential term. He was 49 and she was 21. Together they had three daughters and two sons.  His daughter Esther was the only child of a president born in the White House. Cleveland was alleged to have had a child by a premarital affair with Maria Halpin. He was unsure of the childs paternity but accepted responsibility. Election of 1884 In 1884, Cleveland was nominated by the Democrats to run for president. Thomas Hendricks was chosen as his running mate. Their opponent was James Blaine. The campaign was one largely of personal attacks rather than substantive issues. Cleveland narrowly won the election with 49% of the popular vote while gaining 219 of the possible 401 electoral votes. First Term: March 4, 1885–March 3, 1889 During his first administration, Cleveland championed several important acts: The Presidential Succession Act passed in 1886 and provided that, upon the death or resignation of both the president and vice president, the line of succession would go through the cabinet in chronological order of creation of the cabinet positions.In 1887, the  Interstate Commerce  Act passed and created the Interstate Commerce Commission. This bodys job was to regulate interstate railroad rates. It was the first federal regulatory agency.In 1887, the Dawes Severalty Act passed and granted citizenship and title to reservation land for  Native Americans  who were willing to renounce their tribal allegiance. Election of 1892 Cleveland won the nomination again in 1892 despite New Yorks opposition through the political machine known as Tammany Hall. Along with his running mate Adlai Stevenson, Cleveland ran against the incumbent President Benjamin Harrison, who defeated Cleveland four years prior. James Weaver ran as a third-party candidate. In the end, Cleveland won with 277 out of a possible 444 electoral votes. Second Term: March 4, 1893–March 3, 1897 Economic events and challenges became a major focus of Clevelands historic second presidency. In 1893, Cleveland forced the withdrawal of a treaty that would have annexed Hawaii because he felt the United States was wrong in helping with the overthrow of Queen Liliuokalani. In 1893, an  economic depression  began called the Panic of 1893. Thousands of businesses went under and riots broke out. However, the government did little to help because it was not seen as constitutionally allowed. A strong believer in the gold standard, Cleveland called Congress into session to repeal the Sherman Silver Purchase Act. According to this act, silver was purchased by the government and was redeemable in notes for either silver or gold. Clevelands belief that this was responsible for reducing the gold reserves was not popular with many in the  Democratic Party. In 1894, the  Pullman Strike  occurred. The  Pullman Palace Car Company  had reduced wages and the workers walked out under the leadership of  Eugene V. Debs. When violence broke out, Cleveland ordered federal troops in and arrested Debs, thus ending the strike. Death Cleveland retired from active political life in 1897 and moved to Princeton, New Jersey. He became a lecturer and member of the Board of Trustees of Princeton University. Cleveland died on June 24, 1908, of heart failure. Legacy Cleveland is considered by historians to have been one of Americas better presidents. During his time in office, he helped usher in the beginning of federal regulation of commerce. Further, he fought against what he saw as private abuses of federal money. He was known for acting upon his own conscience despite opposition within his party. Sources The Editors of Encyclopaedia Britannica. â€Å"Grover Cleveland.†Ã‚  Encyclopà ¦dia Britannica, 14 Mar. 2019.Editors, History.com. â€Å"Grover Cleveland.†Ã‚  History.com, AE Television Networks, 27 Oct. 2009.â€Å"Grover Cleveland: Life Before the Presidency.†Ã‚  Miller Center, 18 July 2017.

Thursday, May 14, 2020

William Faulkners A Rose for Emily and Susan Glaspells...

The human mind is a fragile thing. It can be both strengthen and broken down easily. Actions and even words can be the thing to kill a person mentally. Physically harming or locking away a person can lead to mental and bodily withdrawal. Harming a person with words can leave lasting effects and always stay within a persons psyche. Oppressing and locking away a persons true nature or desires can cause someone to act in way that he or she has never behaved before. When done by a loved one, it can affect a person even more. In William Faulkners â€Å"A Rose for Emily† and Susan Glaspells â€Å"Trifles†, two different women are kept mentally and physically locked away by a person who is supposed to love and protect them. Though Emily and Mrs. Wright†¦show more content†¦People seen that â€Å"she use to wear pretty clothes and be lively- when she was Minnie Foster, one of the town girls and [sung] in the choir† (A Jury). It was noticeable to others that she had hanged after getting married. People in the town knew about Mr. Wrights character. They said that he was a good but cold man. He liked to keep his personal life and house quite, giving off a unhappy feeling to others. Mrs. Hale said, â€Å"Yes- good; he didnt drink†¦kept his word†¦and paid his debt. But he was a hard man, Mrs. Peters. Just to [spend] the day with him (Shivers.) Like a raw wind that gets to the bone† (Trifles 1417). They did not have any children or pets and that also added to Mrs. Wright loneliness. He was also gone off to work for most of the day, leaving Mrs. Wright at home by herself. Emilys father suppressed all of her inner desires. He kept her down to the point that she was not allowed to grow and change with the things around her. When â€Å"garages and cotton gins had encroached and obliterated†¦only Miss Emilys house was left, lifting its stubborn and coquettish decay above the cotton wagons and the gasoline pumps† (Rose 217 ). Even when he died, she was still unable to get accustom to the changes around her. The traditions that her and her father continued to participate in even when others stopped, were also a way that her father kept her under his thumb. The people of the town helped inShow MoreRelatedCharacter Analysis Of Susan Glaspell s Trifles 1714 Words   |  7 PagesPaper 2 In both A Rose for Emily written by William Faulkner and Trifles written by Susan Glaspell loneliness, poverty and isolation consume the lives of the characters. Susan Glaspell’s play â€Å"Trifles† written in 1916. In this play the author’s talks of her preoccupation with culture- bound notions of gender and sex roles. Glaspell says women are considered trifles which mean they are not important to society which is carried out by men (Baym, p. 742). In Trifles written by Susan Glaspell the time

Wednesday, May 6, 2020

Teenage Drinking and Driving Essay - 659 Words

Soya Smith Engl 1301 Teenage Drinking has Become a Problem in Our Society Teenage drinking has negatively impacted our current and future society in many ways including teenage drinking and driving, school performances, and increasing crimes. I. A teenage driver and alcohol is a dangerous combination, which can lead to fatality. A. Teenage drivers are at a greater risk of death in an alcohol-related vehicle accident than any other population because of inexperience, invincible thinking, and impaired judgment caused by alcohol. 1. Inexperience plays a major role not only in driving but also in the consumption of alcohol among youth drivers. a. According to the studies done by the Insurance Institute for Highway Safety, young†¦show more content†¦1. Reduced energy is one of the side effects of a hangover caused by drinking alcohol. 2. Teen alcohol also causes the individual to withdraw from their family members. 3. Alcohol usage causes difficulty in relationships with teachers and other authoritative figures. B. Teens who use alcohol have difficulty developing their social interaction skills. 1. They have difficulty with peer relationships. 2. They become more irritable even with small problems causing altercations. C. Underage drinkers are more likely to face possible expulsion from school due to increased absence, unable to maintain minimum grades, and risky behaviors. 1. They may see alcohol more relevant choice than school. 2. Lack of concentration leads to repeated failing grades. 3. Decreased inhibitions may lead to risky behaviors. III. Teens who consume alcohol regularly are more likely to commit crimes such as breaking laws, sexual assault, and drug usage. A. Underage drinking is illegal, and teens who drink may engage in other illegal behaviors as well. 1. They may become members of gangs. 2. They may participate in vandalism. 3. They may possess a firearm. B. The chances of sexual assault may increase among teens with consumption of alcohol whether he or she is the victim or offender. 1. Teens consuming alcohol during parties and nightclubs may find themselves unable to get home andShow MoreRelatedResearch Paper Drinking Age1565 Words   |  7 PagesThe legal drinking age refers to the youngest age at which a person is legally allowed to buy and consumes alcoholic beverages. The drinking age varies from country to country. Here in the United States the legal drinking age is twenty-one. There has been much debate on whether the drinking age in the United States should be lowered from twenty-one to eighteen. People in favor of keeping the drinking age at twenty-one believe that there will be less alcohol related injuries and deaths fromRead MoreEssay about Causes of Car Accidents683 Words   |  3 Pagesauto-accident-resource.com). Among the car accidents, the teenage group is the only age group who is number of deaths is increasing instead of decreasing. Also, all the people are exposed to risk and actually every one of them has got car accident at least on ce that could have been easily prevented. There are many reasons car accidents happen such as drunken drivers, using cellular phones while driving, and teenage drivers. First reason is drinking and driving which is the leading cause of car accidents. OverRead More Teenage Drinking and Its Effects on the Development of Alcoholism Later1613 Words   |  7 PagesTeenage Drinking and Its Effects on the Development of Alcoholism Later Teenage drinking is something that goes on every day. No matter how many videos you show to kids about drinking they will still drink. Surveys show that the average teen seventeen and up spends $475.00 a year on liquor, mostly beer; thats more than books, soda, coffee, juice and milk combined. Most parents dont know about teenage drinking unless they catch their kids doing it. Parents usually say oh, my my kid would neverRead MoreTeenage And Teenage Driving1504 Words   |  7 PagesIndiana Teenage Driving Teenage driving in the United States has been a large controversial topic over the years. In the state of Indiana, anyone of fifteen and a half to sixteen may obtain a driving permit. Indiana recommends early drivers to enroll in the driver education programs to learn the skills of driving. Young people have created a series of issues that give good reasons to increase the driver’s license age. Underage drunk driving is a huge discussion in larger cities and the youth haveRead More Teen Alcohol Addiction Essay1499 Words   |  6 Pagescause of criminal behavior and a leading cause of broken marriages. As we know its a broad topic therefore Ill look at the role that alcohol plays in the society and its impact on teenage addiction. The teen years are a rough time in life in the normal way of human development. If the problem of constant drinking is added to this, there are very serious dangers and pitfalls ahead for these teenagers. Often, they will develop psychiatric problems such as depression, anxiety, or an antisocialRead MoreThe Effects Of Alcohol Abuse On The Body1644 Words   |  7 Pageshangovers are the most common short-term effect, blackouts are also a short-term result of alcohol abuse. Consuming large amounts of alcohol can lead to temporary amnesia where the person is unable to recall events that occurred after he or she began drinking. Unfortunately, blackouts can lead to serious repercussions, especially if the person is engaged in sexual activity during that time. Blackouts are much more common among social drinkers than previously assumed and should be viewed as a potentialRead MoreThe Legal Drinking Age Of The United States Essay1500 Words   |  6 PagesThe legal drinking age in the Unite d States was ruled to be 21 in 1984, setting the country apart from almost all other western nations. These past 30 years have contained as much problems regarding the consumption of alcohol as one of the country’s biggest failures ever, the 18th amendment, otherwise known as prohibition. Also, the legal drinking age in the United States can be considered violation of states liberties, as the national government, albeit with good intentions, has intervened and onlyRead MoreDrinking And Driving1180 Words   |  5 PagesDrinking and driving is not always a right thing. When people drink and drive the action of it could get extremely dangerous. Wrecks are one of the main problems that can happen when some people are drunk because some can lose control of what they are trying to do and end up wrecking. Another problem is driving under the influence of being on drugs. This can cause serious damage. When people are on drugs, they lose train of thought and half of the time, they fo rget what they are doing. It does notRead MoreThe Legal Driving Age Should Not Be Raised1738 Words   |  7 PagesRecently, people have started to become doubtful about the legal driving age being sixteen. They believe that teenagers are immature, childish, indecisive and underdeveloped. People feel that the driving age should be raised to twenty-one so that the society is safer and has more responsible drivers. These people are wrong because teenagers are not as irresponsible as they think. Teenagers need a chance to change others view on them as drivers and become more independent. After turning a certainRead MoreThe Issue Of The State Of Maryland851 Words   |  4 Pagescould be using this money for a different reason. Many teenagers who had their first drink by the age of 15 is more likely to becoming addicted to alcohol than someone who starts drinking at the legal age of 21(cdc). Different teens drink for different reason, many teenagers are admitted into rehab for underage drinking. The ones that make it out that is, many teenagers who drink young and don’t get help die. Recently a 16 year old boy died from taking 24 shots at a party and no one wanted to take

Obesity Is A Disorder Of The Endocrine System Essay

Endocrine System Obesity Obesity is a disorder of the Endocrine System. Obesity means having too much body fat, it occurs over time when more calories are eaten than being use. The balance between calories-in and calories-out differs for each person. Factors that might affect weight consist of your genetic makeup, overeating, eating high-fat foods, and not being physically active. Furthermore, several endocrine abnormalities are reported in obesity. Some of these abnormalities are considered as contributory factors for the development of obesity, whereas others are considered to be secondary effects of obesity and usually are restored after weight loss. Thyroid hormones usually are normal in obesity, with the exception of T3 which is elevated. Prolactin is normal but prolactin response to different stimuli is dulled. GH is low and GH response to stimuli is dulled. IGF-I levels are normal or elevated. Cortisol, ACTH, and urine free cortisol levels are usually normal; however, a hyperresponsiveness of the HPA axis with increased cortisol and ACTH response to stimulatory tests is observed in extremely obese individuals. Obesity is connected with an increased risk of a number of diseases, such as cardiovascular disease, diabetes, arthritis, stroke and several types of cancer, and with decreased longevity and lower quality of life. For example, the increased production of oestrogens in the fat of older women who are obese is associated with an increase in breast cancer risk.Show MoreRelatedEffects Of Exposure Of Females To Androgen Agonists1031 Words   |  5 Pagessex hormones in the brain. Anxiety, mood disorders, and pathopsychological behaviors are the resultant effects 1. These presentations are caused by alteration in the amygdala region of the brain. For example, the expression of AR gene inhibits anxiety is suppressed while increasing the expression of the serotoninergic GABAergic receptor1. Exposure also causes infertility in some females. Where children are born, males are prone to insulin resistance and obesity while females develop high androgen secretionRead MoreThe Problem Of Obesity An d Obesity1163 Words   |  5 Pagesof health is obesity. Obesity is considered a lifestyle disease since it is not infectious or contagious and because it is chronic. But since it is labeled as a lifestyle disease, many people, both lay people and experts, only look at overweight and obese individual’s lifestyles and criticizes them. But not to look at wider possibilities that could be having a great influence on this epidemic (Warwick-Booth, Cross, and Lowcock, 2012). This can be seen in how people talk about obesity and also obeseRead MoreA Brief Article On Ovary Syndrome ( Pcos )1654 Words   |  7 PagesReddit Share this article on Pinterest Expert Author Navodita Maurice The endocrine disorders among females are of various types but the most common one is the polycystic ovary syndrome (PCOS) which is basically an inherited disorder and can be received from either parent. The chances of occurrence of this disorder vary from 5-10% among the females of age group of 12-45 resulting in female sub-fertility. This endocrine disorder can be identified by anovulation which is diagnosed by irregular menstruationRead MoreHuman Replacement Therapy Essay817 Words   |  4 Pagespopulation after withdrawal. Muscular cramps, bloating, headaches and tenderness are the most common symptoms. Tibolone causes recurrence of breast cancer in women who are ER+ 4. Obesity and Early Puberty Obesity is a condition of overweight and in children, it is highly associated with over-nutrition and lifestyle 5. Childhood obesity is linked to early puberty in girls and delayed in boys.There are several explanations given for this. Studies have shown that the onset of puberty is guided by weight. WhenRead MoreEssay about The Endocrine System1431 Words   |  6 PagesThe endocrine system is a group of glands distributed throughout the human body. This group of glands secretes substances called hormones. These hormones discharge into the bloodstream (Shier, Butler Lewis, 2009). The endocrine system does not have a single anatomic location. It is dispersed throughout the human body. The final purpose of this system is to control, regulate, and coà ¶rdinate the functioning of the human body (p.291). Some body functions can be activated or inhibited by hormones,Read MoreThe Diabetes Epidemic895 Words   |  4 Pagesin as the seventh leading cause of death in the United States (Fa stStats, 2013).This disorder is known to be common, disabling and deadly. There are multiple types of diabetes including: type I, type II, and gestational diabetes (Diabetes, 2011).Diabetes is a lifelong disorder that has no known cure but with proper care can be kept under control for the affected person’s entire life. Diabetes is a metabolic disorder (NDIC).When a person is diagnosed with diabetes it means their body cannot use or storeRead MoreThe Effect Of Obesity On Chinese Men On The Age Of 401210 Words   |  5 Pages Similarly, Wang et al. (2012) investigated BPA exposure to see if it is associated with obesity in Chinese men over the age of 40. To measure obesity, the concentration of BPA found in urine samples was measured on a morning that was designated by Wang et al. (2012). Individuals were put into different groups based on concentration (ng/ml) of BPA in their urine as followed: first quartile ï‚ £0.47, the second quartile 0.48-0.81, the third quartile 0.81-1.43, and the fourth quartile ï‚ ³ 1.43. Wang etRead MoreDiabetes : An Endocrine System Disorder1210 Words   |  5 PagesDiabetes mellitus, or better known as Diabetes, is an endocrine system disorder. In this case, your body is unable to produce enough or any insulin at all. Insulin, produced by the pancreas, has a very important role. When sugar is ingested from food, it is turned into energy for the cells in our body. Without insulin, the transfer of sugar into the cells would be compromised. Insulin is also vital to kee p the right balance of sugar in the bloodstream (Hess-Fischl, 2015). If too much insulinRead MoreResearch Paper On Why Obesity Is Considered A Disease857 Words   |  4 PagesObesity has nearly tripled worldwide since 1975. A 2016 study shows that more than 1.9 billion adults, over the age of 18, were overweight and over 650 million of them were obese (â€Å"Obesity and Overweight†). And 41 million children, age 5 and under, were overweight/obese in 2016. Obesity does in fact meet the definition of a disease, but many people may argue that it’s only a â€Å"side effect.† In this essay I will argue why obesity is considered a disease. Obesity meets the requirements of being a

ITtest free essay sample

Running Head: Computer Software and information SystemComputer software is no longer a major barrier to wide use of wireless information systemsComputer software is no longer a major barrier to wide use of wireless information systemsIntroductionTo know about the connection of these topics it is must to know about the link between these phrases as well as the basic concept of these two. Firstly, to know what is computer software and wireless Information systems and then secondly to discuss about their affects upon each other. Computer software is basically some programs or events that are written just to achieve certain functions by the software engineers. Events are the set of steps that is written and combined to make a program. Now there arises a question that what is a program then the answer of this question is that: Programs are basically a set of rules and instructions on the basis of which a computer act to achieve certain functions. To perform specific set of actions on computers intelligently or normally is the basic need to write a program.Wireless Information systems are basically the systems that used wireless. What is Wireless and why and how question arises then? Wireless, as its name shows that it means some sort of transport of data and information among wireless devices without using wires. It can be used in form of mobiles, PDAs, and on large scale Radio is the example of it. Wireless information systems can be range on mobiles, wireless devices and networks. The device used for it is basically a device that is installed first and then it can be used. (Wireless network and information processing system, 2008)Certain DependenciesIn case of Wireless information systems there are certain dependencies. Among those dependencies some of them are very basic and are:mobility of the usermobility of the resourceExplanationThese dependencies can be differentiated in a way that in case of user mobility it can be in the form of travelling user whereas the case with the second dependency is that a network if created among multiple PDAs and now in this case if the PDAs are moving. Along with this dependency there is certain other as well. Just to be focus on the actual behavior of the wireless and then wireless information systems only two are mentioned here to emphasize the main and important factors affecting the wireless in general.Important features to consider aboutThere are certain tendencies that are important to know about these systems. Accord ing to these, Information systems have to develop first. While developing these systems a software engineer needs to know the protocols (specific rules of dealing on networks) and standard to follow upon them and then to develop finally (Feldman, 2007). There are certain standards that need to follow while considering wireless. In this way, there appears a need to select a standard according to the type of wireless information system. Those standards are as follows:IEE802.11IEE802.11aIEE802.11bIEE802. 11gIEE802.16IEE802.16aOpen AirHome basedBlue tooth basedDiscussionAfter implementation of these steps, architecture to develop a software program is required. When these wireless systems developed then these should cope with the problem fairly on real time. If an architecture of software program is designed in such a way that it is safe for security flexibility and other issues as well. If technology is implemented selected in an improved way then an information system can work well. If there are leaks in the design and programming tactics and technology implementation then there would be a lot of leak in the system as well that result in a very severe or drastic problem. In this way it can be say that software programs that developed to resolve a problem needs attention in all these metrics to work upon and to get a better result. If there is a better program written by a programmer who is reliable and portable, efficient and of strong functionality then fulfill the better requirement in this case. Whereas if we are talking about the wireless information systems things become more sensitive as we are dealing on real time and gather a lot of security risks. Thats why after applying and implementing rules and regulations and following the standards will get the better results.The use of wireless information systems is beneficial for the companies and organization in various ways first of all it is accessible in minimum resources. It reduces the time and mobility issues problem and enhances the productivity of the organization in this regard. (Wireless Networking in the developing world session 2007)The use of wireless management systems can improve th e effectiveness of applying multiple procedures. Output of these procedures when resulted in a good form then increased or enhanced the productivity of the organization in a fast manner. Well reputed industries, companies and organizations are referring towards these wireless information systems that is very fast growing. Along with all this there are still new advancements are just coming on the way to increase the quality of the projects or to attain the benefits of the technologies as much as it can be.ReferencesPhillip M. Feldman (2007), Emerging Commercial Mobile Wireless Technology and Standards Suitable for the Army: http://www.rand.org/pubs/monograph_reports/MR960/index.htmlWireless network and information processing system, (2008), Wireless network and information processing system, 2008: http://www.freepatentsonline.com/7433699.htmlWireless networking in the developing world session (2007), Wireless networking in the developing world session, Wireless Network: http://wirelesssummit.org/content/cwns-and-developing-world

Tuesday, May 5, 2020

Nursing Elsevier Health Sciences

Question: Discuss about the Nursing for Elsevier Health Sciences. Answer: 1. Down syndrome is characterized by intellectual disabilities, dysmorphic facial features and distinctive phenotypic characters. This man is a patient of Down syndrome with moderate intellectual disabilities and Type 2 diabetes. Down syndrome with intellectual disabilities and chronic illness like Type 2 diabetes upset the normal flow of life and inflict various adverse effects on this man through his lifespan (Chang Johnson, 2014). According to Chang and Johnson (2014), patients like him faces many limitations in language and communication skills in young age. Language and communication are that zone where slow improvement is most evident. Patients like this man face a hard time giving answers by speaking in early school ages. Communication is a great obstacle for children with intellectual disability. They rely more on body languages such as signs and gestures. Down syndrome also acts as an obstruction for constructing cognitive and social abilities. Situational anxiety is sometimes manifest during transitions to a new situation. Disruptive, hyperactive, impulsive, oppositional and inattentive behaviours are common in young age (Pikora et al., 2014). As a teenager or a young adult, a man like him with Down syndrome may have better language, cognitive and communication skills but commonly have increased vulnerability to depression, anxiety, obsessive compulsive behavior, mood associated problems, sleep disorder and reduced interest in everything. This problems results in social withdrawal (Glasson et al., 2014 and Pikora et al., 2014). With age increased vulnerability changes in older adults. A 45 years old man with Down syndrome can suffer from generalized anxiety, loss of attentiveness, lessened self-care, depression, social withdrawal and deterioration with debility in social and cognitive skills. Aging may also cause dementia in a Down syndrome patient (Glasson et al., 2014). Type 2 diabetes is chronic disorder caused by insulin resistance. It is strongly associated with obesity. There is a high chance of the patient to be overweight. In this disease patient experiences thirst, headaches, dizziness, cramps, blurry sights, tiredness and weakness. High level of fats such as cholesterol and triglycerides are prevalent in blood (Craft et al., 2015). The complications of Type 2 diabetes grows with aging, especially after the age of 45 years. This type of diabetes dramatically increases the risks of various cardiovascular disorders including angina, coronary artery disease, stroke, heart attack, atherosclerosis and high blood pressure etc. Excess glucose can cause neuropathy, nephropathy and diabetic retinopathy (Craft et al., 2015). Type 2 diabetes may also intensifies the danger of Alzheimers disease. Being a Down syndrome patient with disability, this man is unable to maintain proper care of his chronic illness. It not only give him physical sufferings but a lso makes him inactive and weak which acts as a barrier for achieving social and cognitive skills. 2. International Classification of Functioning, Disability and Health (ICF) is a structure established on the principles of primary health where the environment of individuals as well as participation and activities is considered fundamental to their health and wellbeing. The ICF model is aimed to facilitate the measurement and effect of both health and disability in an individual. Central of this model has two core areas that permit practitioners to appreciate the degree of disability of a patient (International Classification of Functioning, Disability and Health (ICF), 2016). The two spheres of ICF model are: Functioning and Disability Body function and structure Activity and participations Contextual Factors Environmental influences Personal factors The ICF model can be applied across the entire lifespan and is also appropriate for all age groups (Rouquette et al., 2015). The man has Down syndrome and Type 2 diabetes impairing his intellectual, physical and emotional capacities. This disorders creates activity limitations for the man as he is not able to perform like other people. He faces difficulty in carrying out multiple tasks, making decisions, solving problems and acquiring skills independently. Communication, interpersonal interaction is also affected because of his disabilities. His disability made him less likely to participate in a range of domestic and social works. Not only the Down syndrome but also his Type 2 diabetes caused him from being socially active. Down syndrome along with Type 2 diabetes causes muscle hypotonicity and this reduces the activity level and energy requirement of the patient. It also causes tiredness and weakness and is associated with the higher frequency of being obese (Craft et al., 2015). The Down syndrome makes him mentally disable and diabetes makes him physically disable. The combination of these factors illustrates how the mans activity and participation are potentially affected across his lifespan. References Chang, E., Johnson, A. (Eds.). (2014).Chronic illness and disability: Principles for nursing practice. Elsevier Health Sciences. Craft, J., Gordon, C., Huether, S. E., McCance, K. L., Brashers, V. L. (2015).Understanding pathophysiology-ANZ adaptation. Elsevier Health Sciences. Glasson, E. J., Dye, D. E., Bittles, A. H. (2014). The triple challenges associated with age-related comorbidities in Down syndrome.Journal of Intellectual Disability Research,58(4), 393-398. International Classification of Functioning, Disability and Health (ICF). (2016).World Health Organization. Pikora, T. J., Bourke, J., Bathgate, K., Foley, K. R., Lennox, N., Leonard, H. (2014). Health conditions and their impact among adolescents and young adults with Down syndrome.PloS one,9(5), e96868. Rouquette, A., Badley, E. M., Falissard, B., Dub, T., Leplege, A., Coste, J. (2015). Moderators, mediators, and bidirectional relationships in the International Classification of Functioning, Disability and Health (ICF) framework: An empirical investigation using a longitudinal design and Structural Equation Modelling (SEM).Social Science Medicine,135, 133-142.