Legal Issue That May Arise When Caring For Highly Dependent Child Essay

Legal Issue That May Arise When Caring For Highly Dependent Child - Essay Example When such a legal issue arises it also impacts not only the family members of the affected child but the treatment and caring process of the nurses in the highly dependent environment also gets influenced. The present study focuses on the legal issue that might arise in the nursing of a highly dependent child in a highly dependent environment. For the particular study, the legal issue selected deals with the maltreatment of the nurses towards the highly dependent children and their roles to report in cases of child neglect of child abuse. The study also focuses on the impacts of the nursing and care of the nurses for such children when such a legal issue arises within a health organization when the nurses ignore the cases of child abuse and do not report them accordingly. Nursing of Highly Dependent Children: Small children require additional care from the nurses and a constant monitoring process (Moyse, 2009, p.241). Physical examinations might be required to detect any disease in t he child and this include observing the child, providing the child with physical touch and assessing the child’s health with an affectionate feeling, listening to the various sounds produced by the body of the child, as well as using the techniques of percussion (Fergusson, 2008, pp.8-9). Hence it is very essential that nurses take their responsibilities sincerely and provide the child with care and service of enhanced quality (Rosenbloom, 2005, p.483). The professional codes of conduct are also essential for a nurse to be followed in order to maintain their roles of care and treatment within a health organization. It would be relevant to mention the name of the International Council of Nurses with whom... The paper tells that small children require additional care from the nurses and a constant monitoring process. Physical examinations might be required to detect any disease in the child and this include observing the child, providing the child with physical touch and assessing the child’s health with an affectionate feeling, listening to the various sounds produced by the body of the child, as well as using the techniques of percussion. The professional codes of conduct are also essential for a nurse to be followed in order to maintain their roles of care and treatment within a health organization. It would be relevant to mention the name of the International Council of Nurses with whom several nurses and organizations of nurses are connected through membership. The primary role of nursing involves the treatment and caring of the patients which in the case of highly dependent children implies at a greater level of involvement and understanding on the part of the nurses. Howeve r when it comes to professional performance of the nurses, they have greater responsibilities since they have to make use of the scientific and technological advances as well in the understanding of the disease of the child and accordingly provide the required treatment. These responsibilities have other positive attributes for the child care since they allow the nursing facility to detect the drugs and treatment therapies appropriate for the treatment of similar diseases in other highly dependent children.

A critical assessment of a marketing execution Essay - 1

A critical assessment of a marketing execution - Essay Example Consumers have power in the baby product industry because they can always go to another location. There are many competitors and decision makers and Johnsons & Johnsons need to develop a corporate growth strategy to increase their penetration of current product-markets. The organization’s web page is full of promotional activities to attract customers and increase their market penetration. In order to attract customers to new class offerings, their webpage says, â€Å"at Johnson & Johnsons we recognize that times are hard, so we want to help you tighten your belt this June with an automatic 10% off your membership† (Johnson & Johnsons 1). The organization is also updating their facility on a continual basis to improve their facilities. Facilities like these increase market penetration. Johnsons and Johnsons marketing strategy tends to be more aggressive rather than passive, reactor or analyzer. Their target market is new moms who are almost hosting the first birthday for their children. They are actively trying to stimulate new marketing opportunities and develop new products. They have an extensive staff with different strategic business units. New product development is actively pursued† (Eisma 1). Part of the marketing department is advertising plan is to offer free or reduced price classes to both new and regular members. They also go out of their way to attract members who have stopped using their products. No successful marketing strategy is entirely focused on one plan. Marketers look at what is happening on a local, national, and international levels so that they could adapt their offerings and expand their offerings appropriately. An organization’s performance goals are often â€Å"linked to accountability and could involve problem-solving, innovation, or implementation of some type of improvement† which might enhance current performance or prepare a group for a new role (Kokemuller 1). They need to be

Communication tools Research Paper Example | Topics and Well Written Essays - 750 words

Communication tools - Research Paper Example Concrete communication skills refer to the effectiveness and the ability to generate the desired results in the listener. Concreteness of communication also depends on the listeners and the individual team members, i-e, the way they view and perceive things and commands, and the ways of communications which get the best results. Some people utilize all five senses they are blessed with. These people are called ‘sensory individuals’ and they need concrete frame of reference in communications. They use present tense in their thought cycle as well as in their communications. This way they are better equipped to transform their thoughts and commands into reality. Concrete communications skills/tools are not something that are acquired once and then forgotten. These skills need constant improvement, learning and practice. Project managers need to look at their own communication ways and need to tone them. They need to keep only the concrete communication skills/tools in their skill bags which effectively give results. This definitely means that they need to discard the less effective skills otherwise known as the ineffective communication skills. And the first step into honing and toning concrete communication skills is listening. The PM needs to be a good listener to be an effective communicator. The PM also needs to start sending the ‘I’ message in communicating. The project manager needs to be effective in communication as well as aware of the tone and texture of communication of the team members and individuals. The following actions can be very helpful in spotting the tone and texture of communication; Following is a brief understanding of these actions. Being present during a discussion refers to being proactive or even reactive instead of only listening to the ideas and plans passively. Giving opinions and criticizing from a logical viewpoint

Emergency preparedness for Healthcare Professionals Article

Emergency preparedness for Healthcare Professionals - Article Example It is advisable that since a hospital is working as a team, then the fight and preparedness here should also be initiated as a team. To begin with, I will address the issues of someone coming in to attack the hospital with a weapon. Here, it is advisable that both patients and hospital officials should make a highway where some individuals can escape. In addition, the alarm system should be in place and in good condition, which will alarm the security officers on the attack immediately. Having put that across, it is also vital to raise concern over earthquake occurrence in the hospital. Earthquake is natural and often, hard to identify the direction to which it is originating from without machines assistance. Therefore, it is advisable for the hospital management to be well equipped with several kits that can last over seventy-two hours after the occurrence of the real incidence. Some of the kits are the ponchos, radios for communication and networking, food rations and flashlights j ust to sample but a few. Again, it is important for the hospital management to acknowledge the vitality of the emergency systems that will aid in notifications. Further, it will be awesome if the hospital is safe-guarded with earthquake safety measures, frames and foundations of the building should be reinforced to resist earthquake. Another unavoidable disaster is terrorism. Often, the increased potential of attacks by the terrorist directs the consequence and unique burden on Medicaid personnel. Therefore, it is the responsibility of the hospital management to prepare in advance for the fight against such act. Thus, the hospital officials have the mandate to implement policies that will protect health care personnel during the time when they will be attending to the victims. Therefore, it is pertinent to have ambulance in standby to evacuate some patients to other hospitals, order extra medicines and arrangements for security personnel. Again, alarming disaster is carbon Monoxide poisoning. In this regard, it is pertinent that the management team should ensure that there is proper installation of the carbon monoxide alarms, which can alert the concern authority audibly. The hospitals should have a professional checker of all burning appliances. It is not wise to be using oven or range to assist in heating the hospitals. Charcoal burning in hospital should be out of bounds. Another caution is that cars should not be left running since; this will not supply required air in the milieu. Lastly, hospital should develop extra decontamination rooms since it is not likely that pre-hospital personnel will manage to control all the contamination issues, the above will prevent hypothermia illness. Hurricane is another disaster that needs thorough preparedness. Here, for any hospitals to run effectively without worries of the severity of the hurricane, it is important that the following issues be put in place. Back-up generators are required to prevent black out conditi on. Hospital structures should be hardened and category five windows hurricane resistance put in place. Fuel tanks for the back-up generators should be available. Another natural disaster is the flood. It is worth to note that flood being a natural disaster calls for preparedness immediately when any sign shows up to avoid loss of life.

Advertising Bias Essay Example for Free

Advertising Bias Essay Marketing and advertising companies are constantly playing on gender roles and stereotypes. Both men and women are portrayed in certain ways to help make products seem more attractive to the same or opposite sex. Men are pictured as lazy, dumb slobs while women are pictured as gentle, beautiful, sexual, and submissive. In children’s ads, boys are shown as rough and interested in action games while girls are more quiet and interested in dolls. Though these stereotypes are not always true, they are what Americans have come to accept about gender and society. Advertisements depend upon painting evocative pictures about these stereotypes in order to entice the consumer to buy the product. Many ads use a sloppy, idiotic, couch potato to appeal to women in products that are commonly used by women such as cooking items and cleaning products. By using the male stereotype, women tend to feel empowered or that they have the upper hand when the usually â€Å"dominant† male is depicted as inferior. While downplaying the male role has become more accepted as a show of politically correct sexism, it is still politically incorrect to do such to women. See more: My Writing Process Essay Some view this as an unfair double standard. Role reversal is often utilized in advertising with women as the focus of the ad. The most common use of stereotyping with women is ads is using them to promote or sell a product through sexual appeal. Whether to a male or female audience, women are portrayed as extremely beautiful and sexy and often in suggestive poses. It attracts men for the obvious reasons, and attracts other women because they aspire to be a certain way or have a certain beautiful quality or feature. Women are also advertised as gentle and submissive in contrast to males. Feminists are against these types of stereotyping because they believe it itemizes women. In society males and females are picked on for their underlying qualities. These qualities have become so widespread and commonplace, today they are considered stereotypes. Companies use these to attract buyers with the idea that they are somewhat better than the opposite sex in some way. The underlying nature in ads points out flaws of men and women and uses them to exploit certain behaviours or mannerisms that will help sell a product with its image.

Khaleeji (Arab Gulf) Dialectic Essay Example for Free

Khaleeji (Arab Gulf) Dialectic Essay Khaleeji dialectic or Gulf Arabic is the language of Arabic native to Arab nationals such as the United Arab Emirates, Qatar or Kuwait. Constitute countries of UAE include Dubai, Sharjah, Abu Dhabi among other member countries. Others include Kuwait, Bahrain, Kingdom of Saudi Arabia, and most parts of Southern Iraq, State of Qatar and the Sultanante of Oman. Khaleeji is not a written but spoken language by many countries in United Arab Emirates (Sami, 1999). Countries within these regions are Arabic which is also known as Modern Standard Arabic (MSA). Gulf Arabic also known as Khaleeji is a variety of Arabic language spoken by nationalities from Bahrain, Qatar, Kuwait and Saudi Arabia. Khaleeji dialectic has some notable characteristics that differentiate it from other Arabian dialects such as a number of slang terms and pronunciation of certain words. The users of the language have similar ethical originality especially true Arabs who trace their origin from Saudi Arabia, Kuwait, Qatar or Bahrain. Immigrants from Persian Gulf have different language from that of Khaleeji. A good example to reflect this is the use of language by people from GCC who are in a position to communicate and understand each other because their dialect is very similar (Gabriel, 2003). Accent of different users tend to differ from one region to another owing to their place of origin. United Arab Emirates share a lot of slang terms with individuals from Bahrain. People from Bahrain and Qatar both have undeniable similarity in the use of their language. Saudi Arabia itself has a number of dialects whereby people from the northern part of the country sound different from those from the southern part of the country. People from Jeddah have notable accent while those from Eastern province have an accent similar to those from Bahrain, Qatar and Kuwait (Jacques, 2003). The language is used in the press such as television, radios, magazines and newspapers. Officials in the government use this language to communicate important information and it is applied in day-to-day tasks by Gulf Arabs. Gulf Arabic is a variety of Arabic language spoken around the Persian Gulf. Some notable characteristics that differentiate Khaleeji language include small number of Persian loanwords and pronunciation of â€Å"k† as â€Å"ch† (Leslie, 2003). The background of Khaleeji dialectic can be traced from Old North Arabian dialects of pre-Islamic Arabia. As a matter of fact, early Arabic language had noticeable dialect distinctions between Adnan, Himyar and Qahtanite. The spread of Islam in 7th century made Quranic Araqbic to be one of the most prevalent dialects (Buhier, 2001). Vernacular Arabic was first recognized as a written language in contrast to Classical Arabic during the 17th century. In African continent, Egypt was a major developer of elite that led to formation of certain trends towards colloquial writing. In the modern world, Arabs have different spoken dialects from literary Arabic. Another basis of Khaleeji dialect is related to Arabic pronunciation which is central to Semitic language. The language is related to other Semitic languages such as Hebrew and Neo-Aramaic languages. Khaleeji language has more speakers than any other language in Semitic language family. It is the first language with a number of two hundred and eighty million people. Most of the people speaking this language live in Middle East and North Africa. Khaleeji dialect has a variety of geographically distributed speakers some of which are mutually unintelligible. The Islamic world has borrowed a number of words from Arabic languages meaning that they share certain accents. In the middle ages, Arabic was a major concern of cultural practices by many European languages. Arabic language has influence from many Mediterranean languages especially Spanish, Sicilian and Portuguese (Mufwene, 2001). This owes both to proximity of Arab civilizations and European during the 700 years of Islamic rule. Khaleeji dialect borrows words from other languages including Hebrew, Persian and Syriac in the early centuries. In the modern times, Arabic language has some sentiments of European language. The central dialect known as Khaleeji in Saudi Arabia is one of the closest dialects to classical Arabic. The Arabs are united by one language which is a common aspect that helped the Arabs to change Persian Gulf. A brief description of the Persian Gulf a major development in Khaleeji dialect is very crucial to help understand the background of such language (Hrair, 1998). The Persian Gulf was a re-known transportation route that declined with fall of Mesopotamia. The region was under the control of Arabs, Persians, Western Europeans and Turks. The Arabs, Persians and Turks are our major relevant issues in this paper. The Arab sheikhdoms of Persian Gulf signed perpetual maritime truce that led to formalization of certain truces. The sheiks agreed to stop harassment of British shipping in Arabian Sea and recognize Britain as the dominant power in the gulf. These Sheikdoms became to be known as the crucial States upon the agreements by major powers around 1907. This led to a development of Khaleeji dialect which differentiates individuals from different Arabic background. Arabic language is Semitic with a variety of dialects that diverge from one country to another and within single country. There are two major classification of the language such as classical and standard Arabic with certain variants. Arabic in its native environment occurs in a diglossic situation meaning that native speakers in Arabic countries learn on how to use two different forms of language (Peter, 2001). In the Arabic countries, they learn their mother tongue which is used nearly in all communication including films, plays and music. Modern Standard Arabic is another major class of Arabic language learned in schools and is used in most printed work, formal institutions and public media. The use of the two major classes of language differs from one country to another, speaker to speaker and subject matter of discussion. People make mistakes when they assume that all Gulf Arabs are same in which case there is a big difference. The difference is as vast as in other various forms of national interest such as the dress code. The local United Arab Emirates has origins that come from within and outside Arabian territory. The emirate people have their origin from diverse places such as Yemen, Asian sub-continent, Iran and khaleeji. There are a number of ethnic groups that depict the difference between the users of Khaleeji dialect and other languages. Bani Yas is a major focus in the aspect of discussing Arabic ethnicities. The Balushi people are the entertainers of indigenous population which is more approachable than any other nationals in UAE. They are considered as entertainers because of their humorous nature and their character of easy going. The Balushistans have their roots in Iran and borrows some Pakistan traits (Katzner, 2002). A major concern is their dress code and use of language with slight difference from other Arabic countries. A major development has been made to bring out clearly the speakers of Khaleeji dialect. This is clearly depicted in cultural and religious practices. People try to merge culture and religion to mean the same thing but this is not possible as the two terms mean different things. An important aspect of Khaleeji is its values and meaning it has to different Arabic countries. However, the Arabic society is considered to be one entity but with different cultural practices. The common element in this aspect is the issue of Islamic observations. Islam and Arabs have common traits but they have a number of differences. The Arabian culture is rich with rituals and customs that are not particularly practices by the Islam. Islam tried to borrow some cultural observations from Arabs and in other situations they have tried to abolish some Arabic practices. In the past the Islamic and Arabic interaction was dynamic leading to a development of certain languages. Islam added to Arabian culture leading to existence of new Hadiths with odd endorsed concepts. The Islam was very stern trying to shape a new nation out of the Arabs and abolished Arab nationalism into a new Islamic identity (Gabriel, 2003). However this was never achieved as individuals had different feelings of belonging. There have been various changes in feeling with change of circumstances, time and surroundings. Majority of Arabic countries that use the Khaleeji language are not in a state of take or leave it with Islam. They pick and choose what suits their personal beliefs or lifestyles. Another consideration is what the society makes an easy option relating to what has been accustomed to them. A blend between Islam and Arabia is the current structure of Arabic society. The society has a number of components that vary in proportion from one individual to another. Different cultures that in region aboard merchant ships and commercial jets. Language is an aspect of connecting Gulf’s population at home and on the street. A development of the Gulf Pidgin Arabic (GAP) a testament to the ability of trade and development creates something new. A mixture of Khaleeji Arabic and South Asian languages has gained recognition as Lingua franca on the streets. Many people are interested in learning Khaleeji language so as to get employed in many countries of United Arab Emirates. A country like Dubai is known for its booming business of textile and electronic goods. Business people should have a common language that promotes the extent of doing business (Peter, 2001). A businessperson should be in a position to communicate with customers in a language which is understood by the two partners. Talking to a neighbor or colleagues is of essence and requires each party to understand the essence of communication. Khaleeji has been of importance to business people and other individuals who travel to Arabic countries in search of jobs. Many individuals from Africa and other developing nations opt to look for employment opportunities in UAE countries. This requires the job seekers to learn Arabic language so as to fit in the job market. Communication is of essence and many individuals opt to choose the best way for passing information without a break down of specific channels. Khaleeji dialectic is a major development in Arabic countries used by musicians to entertain their listeners (Barnett, 2000). As a language it is used by media to broadcast news and air entertaining television shows or programs. Arab artists sing in Gulf dialect but many listeners confuse their tones with other languages. Some of the musicians do it for money and others for fame. Diana is one of the best-known artists who use Arab Gulf to entertain her listeners. This is not a new trend and has been going on since the 1970’s and the listeners look at it in terms of performance and implications of the words. Khaleeji dialect is not as simple as people think but if an artist is in a position to master Bedouin dialect in their own countries, they have no difficult when using Gulf dialect to perform their music. Most Arabic countries have close forms of Bedouin dialect but this is never heard in main cities. It is commonly used by people in desert town or countryside to promote their cultural values. Many successful singers in Arabic countries who use Gulf dialect are usually best in their own countries dialect. This means that a singer should be very well conversant with his or her own country dialect before using Gulf dialect. Singers without their own countries dialect will have their original accent come through even if they try to use proper vocabulary used in Gulf countries (Sami, 1999). This is a major problem because singers may not be in a position to control turning ‘Th’ into ‘S’. This problem is generally with people living in cities as they are called city dialects. The problem is major because it reaches a certain situation when singers complicate words to pronounce grammar phonics wrong. Once this happens the meaning of the song or communicated message is changed. The problem in this situation arises as a result of poor rooted grammar from young age. However, some other people have no problem with Gulf dialect as they have good command of language. A few number of Gulf artists sing in other Arabic dialects as well as in Arab which is also a Gulf dialect. This means that such artists are on their home turf which promotes production of good music. Khaleeji just means Gulf and it is a regional thing which relates to traditional music styles from Arab Persian Gulf states. The major difference is the rhythms distinct from other Arabic countries. Khaleeji dialectic used in music is drawn from Indian and African sources. Artists from Gulf States perform their music in styles from other countries. Khaleeji dialectic used in music is popular in Arabic countries especially radio stations. The stations play music from this genre in which most Arabic singers normally sing in this particular genre. Most of them record their music in khaleeji style to cater for particular niche audience. Dubai is one of the main production centers for Khaleeji music in the recent past. Rabsha Art Production studio is a major studio in United Arab Emirates that specializes in Khaleeji music. It is one of the best known music studios that promote Khaleeji language. This is achieved through promotional campaigns undertaken by various channels. The studio is equipped with special tools and music software applications available for top quality condenser. This ensures that quality of acoustic recordings meets international standards. Khaleeji music is based on peculiar rhythmic patterns accompanied by hand clapping. The genre of music is linked to belly dancing with particular traditional acoustic instruments. Traditional acoustic instruments create harmony leaving a room for couple of instrument solos. The Khaleeji sound is created through the use of traditional acoustic instruments such as Oud the Arabic lute. Other instruments used include Qanoon which resembles plucked harp and the Rababa a bowed fiddle. Khaleeji style has not changed over time, as people from Persian Gulf are proud of their cultural heritage. The rhythmic layers of the music are pretty much traditional in both style and sound. Recently, the genre of music has taken a new trend whereby there is application of modern instruments which gives the music additional contemporary flavor. The music genre uses certain elements of traditional and modern instruments giving it entertaining beats. The genre of music has found a huge number of customer bases not only in the UAE market but in Syria, Egypt, Saudi Arabia, Lebanon and Iran. Rabsha is a development that shows the evaluation of digital technologies and virtual instruments. Application of modern technology is a basic consideration in production studios and other digital workstations. This means that application of technology has shaped the music career in Arabic countries. The situation has led to creation of employment opportunities a measure for improving economic development. Many production studios in UAE apply software and other technologies to produce quality music. However, there has been a down play in the process of producing music whereby there are no available plug-in to replace natural sound of real Oud player. The producer of music has his own sound trademark as a result of using real instruments. Once the music has been produced, the producer uses midi-driven samples to spice up the mix. This is a step that has led to promotion of Khaleeji dialectic in many Arabic countries and other states. One major known producer of Khaleeji music is Alali who runs Rabsha radio station. The producer works with a team of known Khaleeji artists such as Qanoon player, Saadek, Hassan Faleh and Haythan Sadoon. Alali is a well re-known television presenter who has helped to change the mode of music composition approach. He says that working in the capacity of editing pictures has dramatically changed the capacity to compose music. This has led to improvement of songwriting and mixing skills of videos. The process of producing music is very extensive and calls for allocation of time in the aspect of promoting music as a career and advancement of entertainment industry. In this case, Alali is in a position to expand his studio so as to meet increased demand of video music. Clients have been in massive demand of his music and he provides them with the capacity to record and edit their music from his studio. The relevant concept of this argument is the fact of promoting Khaleeji dialectic through music videos. A major advantage in this concept is the application of package music track under one roof. The use of khaleeji dialectic in music is destined to be more important in future as it is gaining popularity among other non-Arabic audiences. Although it is based on traditional concepts, the act of producing the music through digital technology means that it is available via the internet. This therefore is an implication that such music is accessible to other listeners all over the world. The production of music through traditional Khaleeji gives it a modern touch that widens its appeal. Khaleeji music is very entertaining and this attracts many people to listen such music. In certain circumstances, individuals develop a mechanism for developing music genre which is basically essential in media (Barnett, 2000). Khaleeji dialect which is developed from different Arabic countries has led to advancement in entertainment sector through music, films and dance. As a major area of concern in the history of Arabic countries, Khaleeji dance basically known as belly dance is a way of promoting Khaleeji dialect. It is a typical style of Arabic peninsula and Persian Gulf including countries such as Qatar, Saudi Arabia, Kuwait, Yemen and some parts of Iraq. The belly dance performed by different Arabic countries is different from the one that is performed by Egyptians, Turkish and Lebanese. Language in any particular nation is a reflection of cultural practices and dance styles. In this case a major concern is in promotion of language through Khaleeji dance performed by people wearing characteristic piece of clothing called thobe nasshal. Khaleeji dance is performed through an Arabic dance style that involves a lot of focus on footwork, movements and spins. Dancers toss their unbound hair from one shoulder to the other as per the rhythm. Khaleeji rhythm is different from classical Middle Eastern rhythms characterized by heavy beats. One common used rhythm is the Saudi rhythm with heavy accents on beats. Instruments used for Khaleeji style are frame drums such as bendirs or tars while ud is used as the primary instrument. Apart from the various issues of Khaleeji music and dance as discussed above which reflects Khaleeji dialect, there is a major issue related to dialectal various in Arabic languages. In some dialects there may be more or fewer phonemes than in non-Arabic languages. The variations exist between written and spoken language a major aspect that differentiates Khaleeji language from foreign languages (Leslie, 2003). Certain Arabic dialects differentiate some letters from other Semitic languages. During the past decades, expansion of Arabic characterized by emphatic phonemes meant a single phoneme. A major distinguishing mark of Arabic dialects is the application of certain stops. The grammatical concept of Khaleeji dialects differs from other Semitic languages. The algebraic looking grammar is the distinguishing mark between Arabic language and other foreign languages. Arabic language a major reflection of Khaleeji dialectic borrowed a number of religious terminologies, academic and economic terms used in every day activity. Arabic worlds with Khaleeji dialect also made their way into several West African languages as Islam tried to spread through the Sahara. Arabic language can be associated with Latin in Europe throughout the Islamic world. Many Arabic concepts are applied in certain fields such as science, commerce or philosophy. People like to use Arabic language with the help of translators who are known from the way they pronounce certain Arabic words. In addition, foreign concepts are translated into Arabic meaning so as to make every person in a given gathering understand message being communicated (Jacques, 2003). Khaleeji dialect is reflected in many different Arabic countries through its application in many aspects of life. References Barnett, N. (2000). Dialogues in Arab Politics: Negotiations in Regional Order. New York: Columbia University Press Buhier, M. (2001). The Formation and Perception of the Modern Arab World. Princeton, NJ: Darwin Press Gabriel B. (2003). Minorities and the State in the Arab World. Boulder, CO: Lynne Rienner Publishers Hrair, D. (1998). Islam in Revolution: Fundamentalism in the Arab World. Syracuse, NY: Syracuse University Press Jacques, M. (2003). Languages in a Globalizing World. New York: Cambridge University Press Katzner, K. (2002). The Languages of the World: Language and Languages. London: Routledge Leslie, J. (2003). Colloquial Arabic (Khaleeji). London: Routledge. Mufwene. S. (2001). The Ecology of Language Evolution. London: Cambridge University Press Peter, C. (2001). Ideology of Power in the Middle East: Studies in Honor of George Lereczowski on Dialectical Progress. Durham, NC: Duke University Press Sami, H. (1999). Arab Socialism: A Documentary Survey of Dialectical Transformations. Salt Lake City: University of Utah Press

Overview of Disease Diagnoses Processes

Overview of Disease Diagnoses Processes Alejandra Medinilla TASK 1 The aim of this work is to cover the whole process of disease diagnoses. In medicine, exist different ways to classify diseases as well as different test and procedures to diagnose them. The world health organization (WHO) plays a very important role here; since they created normalized classifications of diseases and disabilities, with specific codes to describe each of them with the purpose of simplify and standardize the process of diagnose 1.2. We are going to review the two most important models of health, used in medicine to explain illness. They help to predict and identify risks and consequences, make decisions and reduce the possibility of occurrence of an illness. Diseases can be classified in different ways, depending on the criteria taken into account; duration, distribution, pathology and aetiology are some examples. They are important in the compilation of statistics on causes of illness (morbidity) and causes of death (mortality). The most used classifications divided illnesses depending on the organs affected, nature and causes of the disease, risk of contagious and communicable and the occurrence and frequency of it. According to the British encyclopedia these classifications are: 1) topographic, (2) anatomic (3) physiological, (4) pathological (5) etiologic (6) juristic, (7) epidemiological and (8) statistical. (Stanley L. Robbins, Jonathan H. Robbins, Dante G. Scarpelli. 2013. Classifications of diseases [online]. Available at: http://www.britannica.com/EBchecked/topic/275628/human-disease/63272/Classifications-of-diseases) The WHO has a very important role in classifying disease. They develop the WHO Family of International Classifications (WHO-FIC), with the ICD and ICF as core classifications. They are call the Normalized Classifications and are based on professional and scientific criteria. The International Classification of Diseases (ICD) is a classification that uses different codes to differentiate symptoms, signs and illnesses. This classification allowed a global standardization making easier the diagnostic process. Each illness is classifying trough a code of 5 characters. The last version is the 10th, ICD-10, created in 1992. The 11th revision is running until 2015. The other classification created by the WHO is the ICF, which complements the ICD. This classification has two parts. One refers to functionality and disability and the other to conceptual factors. Both classify of the different states of illness/health within a standardize framework, with specific codes. On the other hand, more generally speaking, in 1997 was created the â€Å"triangle of health†. It classifies health, into social, mental or physical making emphasis on the importance of the three states together. We can define as Physical Health, to the body health; it refers to optimal weigh, vision, a healthy skin, and bones, tissues and organs, a good dental condition and a good neuro-muscular coordination. A person with physical health must able to do all his routine workwithout any difficulty. To evaluate the physical health of a person we can focus in different areas like life style (drug abuse, alcohol and tabaco habits, regular exercise, medical checkups), human biology (genetic and body chemistry), environment (the air we breathe and where we live) and medical services ( to prevent, detect and treat diseases). Mental Health – refers to the state of mind. It is the capability that a person has to manage stress and tension of daily life and keep a good attitude. Personal relationships with family and friends are a key aspect when trying to evaluate a person’s mental health. Mental health is essential requirement to make judgments, to possess discretion and to face and overcome the problems. The World Health Organization describes Mental Health as the â€Å"state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community. (WHO. December 2013. Mental health: a state of well-being [online]. Available at: http://www.who.int/features/factfiles/mental_health/en/) And last, Social Health – which is the ability to function in society. It is in the ability to build positive and constructive relationships with peers. The social network of a person is a crucial indicator. Having no friends could lead to depression being more prone to manifest physical problems. In contrast, a person with strong relationships will feel more supported and accompanied. As a resume, a person could have a very good physical health, making exercises every day, eating healthy food and doing regular checkups with the doctor, but, if the person moves away from friends and social events to maintain this condition, this means luck of social health and could lead him to mental health problems in the future. In the process of diagnoses and establishing health and disease it is important to have knowledge and understanding of the Health research methods. Health research has been defined as â€Å"the process for obtaining systematic knowledge and technology which can be used for the improvement of the health of individual groups.† (Davies 1991, cited in A. Bowling 2002, p.3) Health research methods are used to obtain the necessary information to develop new tools and procedures that help to protect people from diseases or recover from them. Classifications of research methods are based on different criteria. Dankhe classification (1989) proposed 4 types of research studies: exploratory, descriptive, correlational and explanatory. In general depending on the role of the researcher we can have observational or experimental methods; according to the time when the data is collected or measured, prospective or retrospective; according to the number of occasions on which the variable is measured in the study, transversal or longitudinal and according to the number of variables under study, descriptive or analytic. Experimental studies are prospective studies; they evaluate the effect of one or more interventions. Frequently used in the assessment of therapeutic drugs and therapeutic interventions, being really careful with the ethic limits. They can be applied to the investigation of preventive measures of the disease, seeking to reduce individual risk. An example is the study that evaluates the effectiveness of a vaccine. On the other hand observational studies are those in which the patient is not assigned to an specific treatment or intervention, the evaluation is carried out according to a standard clinical practice, being therefore the researcher an observer of what is happening or has happened. Research involves a combination between the different types of research. Research methods are used in conjunction. As the WHO suggest â€Å"another way of classifying health research†¦ is to describe it under three operational interlinked categories of biomedical, health services and behavioral research, the so-called health research triangle† (WHO. 2001. Health research methodology. Chapter 1, p. 3) Multi-dimensional approaches are available for evaluating outcomes research. In evaluating research outcomes it is important to measure effectiveness, acceptability and humanity, equity and accessibility and efficiency. The evaluation of the data is made using the scientific method, and the collection of research data. Evaluation can be divided into two types: formative and summative. Formative evaluation is carried out during the investigation process. It aims to improve the methodology concentrating on the strengths and weaknesses. On the other hand, Summative evaluation takes place at the end of the process. It determines achievement and other outcomes, to evaluate the continuity or not of the process or program. There are different ways to disseminate the results of a research. As a general rule it is better to plan at the beginning of the research which is going to be the dissemination strategies. It should be consider the goals and objectives of the dissemination, as well as the impact, the Audience, the Medium to best reach each the audience and the execution process. Ones we have the results of an investigation we need to concentrate in how they are going to be disclosed. The options are diverse, depending on the public we want to focus on. The most common and generally used is the publication of texts, could as scientific papers, in specialize magazines, newspapers or posters, leaflets and advertising for a more general public. In the field of health exist different Principles of Health modeling. Models are a simplification of reality. They help to predict, identify risks and consequences, make decisions and reduce the burden of illness. We can mention 2 important models, the Biomedical and the Biopsychosocial models. Both are theories that explain illness from different perspectives. The biomedical model assumes that disease is a deviation from normal biological functioning and biological mechanisms are sufficient to explain disease, excluding psychological and social processes. It is a reductionist and single-factor model; it reduces illness to low-level processes, such as disordered cells and chemical imbalances, and explains illness in terms of a biological malfunction. We can say that the Body was treated as a machine; Physical disease is measured by the absence of health. It is the one used to develop the classification of diseases. On the other hand, the Holistic or biopsychosocial model includes biological, psychological, and social factors as important determinants of health and illness. It maintains that health and illness are caused by multiple factors and produce multiple effects. So it is a multicausal model. Mind and body cannot be distinguished in matters of health and illness because both influence the state of health. The perception of wellbeing is influence by different factors. There are psychological and social factors that influence the development of illness, and these are ignored by the biomedical model since it take into account just the physical aspects of the problem. TASK 2 It is important to mention the difference between Diseases and Illnesses. A disease is a pathological condition of the body in response to disruption of homeostasis. It is a result of pathogens, trauma, physical and chemical agents, genetics (inheritance), metabolic or nutritional disorders, while an Illness is the condition of a person experiencing disease. In order to establish people’s health we need to follow different procedures and make various tests to be able to give diagnoses. Before we can proceed with a specific test or group of tests we need to look the Signs and symptoms the patient presents. Signs can be define as any indication of a medical condition that can be objectively observed and normally they have no meaning to the patient or they not even notice them. Signs can be detected during a physical examination. Elevated blood pressure is an example. 2.2 Symptoms on the other hand are recognized, experienced and referred by the patients. The patient feels something anomalous in his body. Examples of symptoms can be, feeling tired, low mood and energy, anxiety, nausea, dizziness, and drowsiness. Symptoms become key elements when any health professional want to make a diagnosis to a patient and give him treatment. As examples to clarify we can mention three examples. In the case of a headache, the patient is the only one capable to notice it so, it is a symptom; if we talk about blood pressure, this could only be a signs, since it needs to be measured by a doctor in a laboratory; and the one that could be both, a sign and a symptom is a rush. Ones we have observe and checked the signs and symptoms we are able to proceed with the correspondent diagnostic process. The diagnostic process includes all types of measurements and tests that are used to evaluate a patients condition, such as physiological measurements, laboratory tests and pathology tests, imaging tests and endoscopies. 2.1 Each form of diagnosis involves specific procedures and tests that we can summarize as: Laboratory tests: blood test, urine, and/or other body fluids. They are used to evaluate what is going on in the body and also in specific cases like cancer treatment, to evaluate the side effects like anaemia and neutropenia (low white blood cell count), which can increase the risk of infection. 2.1 Endoscopic tests: is a procedure performed with an endoscope (a flexible and very thin tube with a camera) to examine the inside of the body. The endoscope model varies depending on the part of the body that is going to be examined. Biopsy: is the removal of tissue, a very small amount to be examined under a microscope. There are different types of biopsies: Fine needle aspiration biopsy, Core needle biopsy, Vacuum-assisted biopsy, Image-guided biopsy and surgical biopsy. 2.1 Imaging tests: X-ray, bone scan, CT or CAT scan, Positron emission tomography (PET) scan, MRI and Ultrasound. 2.1 In practice, Multiple Tests are used. Choices depend on cost, invasiveness, volume of test, presence and capability of lab infrastructure, urgency, etc. As an example, to diagnose cancer the most common types of tests used are biopsy, imaging tests, endoscopic tests and laboratory tests. It is important to know that a disease could be developed in a normal or an abnormal way. That is the field of etiology, which in medicine refers to the factors coming together to cause a disease. As mention previously, a disease can have a normal or an abnormal aetiology. To clarify this concept we can observe the development of Diabetes. In general it could be describe as a chronic disease that occurs when the body loses the ability to produce enough insulin or use it effectively. We can divide this disease in 2 main groups. The first one includes the types of diabetes with normal aetiology and the second one with abnormal aetiology. In the 1st group (normal aetiology), the common forms of diabetes are Type 1 diabetes (T1D, known as insulin-dependent diabetes or IDDM) and Type 2 diabetes. In Type 1, the pancreatic cells produce little or no insulin. Its causes are not precisely known but are believed to be an autoimmune reaction. It can occur at any age, but usually occurs before the age of 30. Type 2 diabetes (T2D), known as non-insulin-dependent diabetes (NIDDM) usually develops slowly over time. Most people with this disease are overweight at the time of diagnosis. The increment of body fat makes it difficult for the body to use insulin the right way. It can also occur in thin people and are more common in the elderly. It is the most common form of diabetes. 2.3 The 2nd group involves the types of diabetes with abnormal aetiology. In general these types present a gene mutation and some grade of inheritance. We can mention MODY (Maturity onset diabetes of the young) and GDM (Gestational diabetes). (MODY) is a rare form of diabetes that runs strongly in families. It is caused by an inherited genetic defect, an autosomal inheritance (3 generations of the same family affected) of the insulin-producing cells. After the Type 1 diabetes it is the most frequency type within infants. GDM is first developed during pregnancy, usually appears in mid-pregnancy. The body cannot produce or use enough insulin. It is of very high risk for the pregnancy, so it needs to be controlled. Gestational diabetes can be controlled with a healthy diet and regular exercise, but sometimes the mother will also need insulin. 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