Sunday, May 24, 2020

Taking a Look at Peripheral Neuropathy - 1118 Words

Peripheral neuropathy is a fairly common neurological problem and is a generalized term that means that there is a disorder in the peripheral nervous system. Being that this is a broad definition and includes many varieties and causes of peripheral nerve disease, a proper diagnosis is needed for the definition to be specified. The overall prevalence of the condition is about 2400 (2 ·4%) per 100 000 population, but in people older than 55 years, the prevalence rises to about 8000 (8%) per 100 000. (Simpson, 2010) Yet this does not include traumatic peripheral nerve injuries meaning that the number of peripheral neuropathy in our society is greater. In first world countries, the most common cause of peripheral neuropathy is diabetes mellitus. Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. (Loganathan, 2006) Due to the fact that the diagnose of diabetes mellitus has increased in our general population of the USA, the amount people in risk of diabetic peripheral neuropathy is also expected to increase. In our case we are dealing with diabetic peripheral neuropathy that results from nerve damage due to the high blood glucose levels diabetics. About 60 to 70 percent of people who have had diabetes for many years have some form of nerve damage, but not everyone has symptoms. (Inzucchi, 2012) Common types of diabetic neuropathy are those that affect the limbs along with theShow MoreRelatedWhat Do If Someone You Love Has Neuropathy2073 Words   |  9 PagesWhat to Do If Someone You Love Has Neuropathy If someone you love has neuropathy and suffers from chronic, often debilitating pain, you probably know all too well how seriously it can wear a person down — physically, emotionally, spiritually — and affect their overall quality of life. Sometimes though, it’s hard to know exactly what to do for someone who is chronically ill, especially when you are also feeling the effects of your loved ones illness. While you can’t solve all of their problems, youRead MoreA Brief Note On Diabetic Peripheral Neuropathy ( Dnp )1949 Words   |  8 PagesProblems Diabetic peripheral neuropathy (DNP), also know as Neuropathy nerve damage. â€Å"Diabetes can impair blood flow to your feet and cause nerve damage† (Castro 180). High blood sugar can injure nerve fibers throughout your body, but diabetic neuropathy most often damages nerves in legs and feet. â€Å" Enigmatically, recent reports have described that long-term tight glycemic control may be major risk factor for the development of diabetic neuropathy† (Zhang, et al. 1). Diabetic neuropathy can also affectsRead MoreHealth And Patient Education For Diabetic Foot Care1342 Words   |  6 Pagesauthor will take a look at daily foot care and prevention of ulcers. The paper will discuss statistical factors for foot problems and those affected by these complications. Furthermore, the author will discuss and provide easy to understand educational material used for the general population of diabetics. American Diabetes Association and Foot Care The American Diabetes Association (ADA) estimated more than 73,000 people suffered lower-limb amputations in 2010. Neuropathy defined as tinglingRead MoreKnowing More and Giving More: A Focus on Diabetes Research, Management, and Cures2591 Words   |  10 Pagesmortality rate for diabetes was listed as the underlying cause of over 70,000 death certificates in 2007 alone. And, as mentioned above, complications do happen and can include heart disease, stroke, high blood pressure, blindness, kidney disease, neuropathy, and amputations. But many of you know all of these facts already, so I am reiterating them to open your eyes, to help you see and encourage you to recognize that diabetes is still a problem and despite the millions of dollars spent by our governmentRead MoreMetabolism : Risk For Injury Patients With Diabetes And Osteoporosis Essay1715 Words   |  7 Pagesrelated to diabetes may cause alterations in serum potassium and sodium levels, which, may cause cardiovascular and neurologic disturbances (Pearson, 2015). Other risk factors include environmental hazards and alterations in sensation, such as peripheral neuropathy (Ladwig, Ackley, Makic, 2017). Risk factors that may cause a patient with osteoporosis to be put at risk for injury include environmental hazards such as clutter and drug related cardio effects (Ladwig, Ackley, Makic, 2017). DecreasesRead MoreSystemic Lupus Erythmatosus Essay example1364 Words   |  6 Pagesno single test that can determine if a person has lupus. Several laboratory tests can help a doctor confirm the diagnosis of SLE or rule out other causes for the person’s symptoms. The ANA (antinuclear antibody) test is commonly used. This test looks for antibodies that react against the components of the nucleus of the body’s cells. The doctor can also order a biopsy of the kidney’s or the skin if those body parts are affected. The doctor can also order a test for anticardiolipin antibodiesRead MoreDiabetic Foot Ulcer Teaching Project1821 Words   |  8 Pagesblood vessels and include heart attacks and strokes (WHO, 2013). The microvascular component is related to damage of small vessels and include retinopathy, nephropathy and neuropathy (WHO, 2013). While retinopathy and nephropathy lead to blindness and renal failure, respectively, our focus for this project is on the neuropathy and its role in the diabetic foot ulcers complication of type II diabetes. Indeed, this paper, after the overview given on diabetes, is really about diabetic foot ulcer asRead MoreEvaluation Of The Comprehensive Geriatric Assessment3770 Words   |  16 Pageswidowed and lives alone in a small town that borders a major city. Her hobbies include word search puzzles, watching soap operas, participating in water aerobics and talking on the phone to her family. She is a patient with arthritis, diabetes, peripheral neuropathy and cardiovascular disease. The needs and goals identified by the patient are that she wants to remain at her optimal level of health, continue living independently and avoid further functional decline due to her diagnoses. Physical HealthRead MoreDr Marie Tooth Dystrophy ( Cmt ) Is A Disease That s Unrecognized Among The Public1528 Words   |  7 Pagesdo ourselves to treat it and control it, could potentially make it a no-longer life disabling disorder. Charcot Marie Tooth Dystrophy (CMT) is an inherited genetic disorder, affecting the peripheral nervous system. It’s classed with a whole family of hereditary sensory and motor neuropathies (HSMN). This family has many members like Amyotrophic lateral sclerosis (ALS), muscular sclerosis (MS), and muscular dystrophy (MD) (Vallat, Jean-Michel, 2003), all of which I’m sure most people areRead MoreApproach to Cancer Care Essay2354 Words   |  10 Pagesand PET scans may also provide information about how much and where cancer is in the body. Often, biopsy is needed to confirm the diagnosis of cancer, and to find out if an abnormal spot on an imaging test is really cancer spread. A biopsy involves taking out tumors or pieces of tumors and looking at them under the microscope. Samples can be removed either during surgery or during less invasive biopsy procedures. The different techniques used to remove and examine samples are described in our Surgery

Wednesday, May 13, 2020

Love and Friendship in the Epic of Gilgamesh Free Essay Example, 1500 words

Aruru makes Enkidu, whose transformation from beast to human being shows parallels with Gilgamesh’s evolution as a humane human being too. To continue with the same point, Enkidu lives like an animal, but he awakens from his beastly stature after having sexual relations with Shamhat, and, as a parallel experience, Gilgamesh becomes more human when he is humbled after Enkidu almost defeats him. After making love with Shamhat, Enkidu changes within and so does Gilgamesh because they figure out that being human is seeing their own weaknesses by witnessing them in others and accepting them as part of their humanity. Enkidu becomes a human being as he realizes his need for fraternal relationships: â€Å"Becoming aware of himself, he sought a friend† (Gilgamesh 1.194-204). Enkidu realizes that without a friend, his life is incomplete. Having a friend like Gilgamesh completes the essence of his humanity because it entails love and support from a real friend. Friendship is e ssential to opening the eyes to one’s human limitations and capabilities. As a corresponding identity-changing experience, Gilgamesh also transforms from being a beast to being human being because of his battle with Enkidu. We will write a custom essay sample on Love and Friendship in the Epic of Gilgamesh or any topic specifically for you Only $17.96 $11.86/page Enkidu literally and figuratively saves him. Literally, Enkidu fights with Gilgamesh in his battles, and symbolically, he prevents Gilgamesh from being a brutish leader by inspiring him to change. Moreover, the meteorite reflects baptism through fire. Gilgamesh’s battle with Enkidu proves that Gilgamesh might be the mightiest, but he is still a mortal being who needs friends to feel happiness and fulfillment. At the same time, embracing Enkidu as a wife is similar to saying that their bonds are eternal. Gilgamesh becomes a better human being because he realizes that he has been inhumane and it is time to change into a true human being who cares for the welfare of others. Besides changing through seeing the self in others, friendship turns Gilgamesh into a more compassionate and just leader. Sasson explores the relationship between literary motifs in the Epic of Gilgamesh and its author’s historical conditions.

Wednesday, May 6, 2020

Labor-Management Bargaining Free Essays

The process of labor-management bargaining has evolved since its beginning in the early years of labor negotiations. Since the parties involved in collective bargaining are negotiating a formal contract that both are to be bound by, there are many stresses and tensions that permeate the process. Most early negotiations were filled with drama and emotionalism. We will write a custom essay sample on Labor-Management Bargaining or any similar topic only for you Order Now The struggle has continued today to move toward a more rational process, whereby negotiations are conducted and settled on the facts and more concrete, quantitative arguments. In pursuit of this goal, there are strategies and tactics that can be utilized by both management and unionized labor in order to facilitate a more reasonable contract negotiation. The most beneficial tactics-setting reasonable goals, and researching facts-are employed before the negotiations even begin. First of all, in order to bargain better, it is important to understand just what collective bargaining is. James P. Begin and Edwin F. Beal define collective bargaining as part of an Industrial Relations System. The system of relations consists of: (1) the people who head the organizations that provide goods and services to society, (2) the people who do the work, and (3) the governmental organizations that maintain the society. â€Å"Under capitalism, workers are relatively free to sell their own labor and withhold it at will (Begin, James P., Beal, Edwin F., 3).† This forms a free-will contract in which the employer and employee must decide the terms of employment (Begin, Beal, 3). This provides the basis for the industrial relations system. Before judicial regulations were enacted as a framework for negotiations, the worker and the employer could enter into a verbal contract that would suffice. However, as workers organized themselves into formal labor organizations and elected members to represent them, more formal contracts were needed. The movement of collective bargaining toward a matter of national policy began in 1935 with the enactment of the Wagner Act. This act pronounced two basic principles: (1) employees were to be permitted to form and maintain labor unions of their own choosing without being subjected to coercion, intimidation, or discrimination by employers; and (2) employers were to be required by law to bargain collectively with labor unions designated by their employees on wages, rates of pay, hours, and other conditions of employment. The Wagner Act and others, like the Taft-Hartley Act and the Fair Labor Standards Act, have provided a framework of law within which the collective bargaining process must operate. The legal regulations extend to both the procedural aspects (the manner in which collective bargaining is to be conducted) and to the substantive aspects (the types of subject concerning which collective bargaining is obligatory and which may or may not lawfully be incorporated into collective bargaining agreements). However, the substantive aspect remains relatively unrestricted by law (Torff, Selwyn H., 4-14). It is the substantive aspect that leaves collective bargaining negotiations subject to emotionalism, and illogical and irrational behavior. John Dunlop and James Healy have described four ways in which negotiations can be depicted. The first is a poker game, â€Å"with the larger pots going to those who combine deception, bluff, and luck, or the ability to come up with a strong hand.† The second is an â€Å"exercise in power politics, with the relative strengths of the parties being decisive.† The third, â€Å"a debating society, marked by both rhetoric and name calling.† Fourth and finally they noted a better way-if followed-that a negotiation can be depicted. This is a â€Å"‘rational process,’ with both sides remaining completely flexible and willing to be persuaded only when all the facts have been dispassionately presented (Sloane, Arthur A.; Witney, Fred; 203).† Sloane and Witney have stated, â€Å"all of these characteristics have marked most negotiations over a period of time. The increasing maturity of collective bargaining implies enlargement of the rational process†¦Ã¢â‚¬  This rational process involves the employee, employer, and union settling on the basis of facts rather than name-calling, table pounding, and emotionalism (Sloane, Witney, 203-204). Therefore, in order for collective bargaining to become more rational, certain techniques must be employed. Edward Peters has written a guide to better negotiating titled Strategy and Tactics in Labor Negotiations. In this book he provides good strategies for obtaining a more rational negotiation. The first important step toward better bargaining is to realize the essential nature and purpose of negotiations. In a bargaining conflict, there are three main activities in which each party is involved: (1) attempt to influence each other, the employees, and public opinion by advocating the merits of their respective positions; (2) indicate strength to each other; and (3) explore the possibilities, in terms of each other’s maximum and minimum expectancies, of a settlement without an economic contest, or, at worst, a contest of minimum duration (Peters, Edward, 41). Peters states that sophisticated bargainers often underestimate the importance of good preparation and presentation of their position because they feel that these are just â€Å"window dressing for the harsh realities of economic strength (Peters, 42).† It is true that economic strength is important, but a position reinforced by logic and reason can often exert a crucial influence (Peters, 42). Another step toward better negotiations is preparation and the setting of realistic goals. Peters states that â€Å"the practicality or impracticality of a collective bargaining goal is a matter of foresight, not something to be determined by hindsight (Peters, 60).† An example of this that pertains to management is that sometimes there are items that a union cannot and will not concede. If management does not prepare enough and makes the assumption that the union can and will negotiate on any proposal submitted by management, they risk the possibility of strikes. There are issues over which â€Å"a union will prefer to lose a plant in an economic contest rather than jeopardize itself with a larger group (Peters, 60).† The setting of more realistic goals by management could avoid this detrimental result. In order to set realistic goals, a criteria for realistic goals must be established. Most negotiators, according to Peters, would agree that a realistic goal, to be attained without an economic contest, must be based on the following minimum considerations: (1) has the other party the ability to concede the issue? The employer must be able to concede the issue without serious damage to operations. The union must be able to concede the issue without serious internal injury, or any danger of disintegrating as an organization, or losing out to a rival union; also without seriously impairing its external relationships in the labor movement, or with other employers; (2) are you warranted, by your strength, in setting such a goal? (3) Is your goal within the bargaining expectancy of the other party? This last point may be disregarded only if you are ready to wage an economic contest for your minimum goal (Peters, 61-62). These criteria should be fully examined before setting any goal or pressing any issue in a labor negotiation. Priorities must be established and ranked in order of impact and importance (Richardson, Reed C., 128). Even though setting realistic goals help in negotiations, a course of action must be pursued in order to obtain those goals. Prestige plays an essential role in negotiations. Prestige is an intangible quality in the sense that it is a symbol-a symbol of the potential and actual strengths of the parties in all of their relationships. Prestige reflects itself in the relationship of the parties to each other and especially to the workers in the plant. A union’s basic strength lies in the support of its own membership (Peters, 85-86). Other factors that affect during negotiations are sign language, fringe issues, and negotiable factors. However, the most important tactics take place before the actual negotiations. â€Å"Negotiators who approach the bargaining table without sufficient factual ammunition to handle the growing complexities of labor relations†¦operate at a distinct disadvantage (Sloane, Witney, 213).† Most larger unions and almost all major corporations today have their own research departments to gather data and conduct surveys. Only if both parties research and establish a framework for negotiations can they successfully obtain results within their range of acceptability. With this in mind, collective bargaining can mature to its desired rationality in the management-labor relationship. How to cite Labor-Management Bargaining, Essay examples

Sunday, May 3, 2020

Media Violence etc. Essay Example For Students

Media Violence etc. Essay Does the entertainment media reflect the standards of the American people, or does the entertainment media define the standards of the American people? This question is difficult to answer because of the complex interaction between American culture and the entertainment industry. To some extent, the entertainment media does gets feedback on what viewers want to see in the form of Nielson ratings and box office returns. But the simple fact remains that the content produced and delivered by way of television, the film industry, and the major music labels are controlled by a relatively small group of individuals. Entertainment media does not reflect standards of American people. Instead, it defines what the people want. The mass media is controlled by a selected group of people who decide what shows get aired, and what the content of those shows should be. The television ratings system and box office returns provide some feedback, but the only real concern is over what is the most profitable. One major concern with the content of media is the effect it has on very young children. Disney movies have taken quite a beating over the years because of stereotypes they force into childrens minds. Stereotypes in ;The Little Mermaid; are a good example of this. Ariel, the star/role model in the movie, plays the part of a helpless, blundering female. As soon as she was left on her own, she immediately got herself into trouble. There was always a male needing to protect her. Another example of stereotypes is in the movie ;Dumbo;, where the crows that gave Dumbo the magic feather were portrayed as very stereotypical images of African Americans. They were shown as jolly, easy-going, and vulgar. Disneys animated films influence children in their formative years of life. Do we want our children growing up with these corrupt images in their heads? Of course not! But there is not much that can be done about changing the content. If a young girl wishes to grow up to ! be just like Ariel, then what should you tell her? Maybe it is a perfect opportunity for her parents to sit her down and teach her about the differences between fairy tales and reality. Television sitcoms and prime time TV series commonly depict a family with a mom, dad (or even step mom or dad), several children, and a pet or two, all in a fairly stable relationship with one another. Never does abuse, neglect, or other common family problems actually occur in the main family of a sitcom. Again it should be taught to the children at an early age (perhaps in elementary school?) that TV fiction is not an equivalent to reality by any means, and that if their life does not measure up, it is normal, and nothing to be embarrassed about. Then there is product placement in television and movies. In some ways, seeing actual products that people recognize from daily life makes the television and movie sets appear more realistic. So in that way, entertainment media may be reflecting the American people. But, a lot of the brand name products used on movie and television sets are there because a corporate sponsor paid to have their product included the media content. This has become fairly common, and is a smart means of advertising. What is shown on TV and movies looks real to people, so if their product is included in a popular sitcom or movie, the company will most likely find quite an increase in market sales. So, in turn, the entertainment media does in fact define what the public wants as a whole. If a person or group of people disagree with what they see on television, then they have every right to just flip the channel or educate themselves or their children to base their opinions more on individual thought. Explain How The Inherent Strength Of Prussia, Comb Essay .