Paper 1 Biology Essay Example | Topics and Well Written Essays - 1500 words

Paper 1 Biology - Essay Example 1. Components of physical examination The components of physical examination include inspection, palpation, percussion, and auscultation respectively. However, some physicians may choose a different sequence depending on the training. All these examinations focus on knowing more about the present condition of disease of the patient or even the most probable to occur. Inspection involves the search for signs while palpation involves the feeling for the signs. Percussion is the tapping for signs, mainly in the lung and gut examinations. Auscultation involves using the stethoscope to listen to the heart rate. Anciently, physicians listened directly through the ear. It is not mandatory that all systems will have signs but most will. Physical examination is the general examination of the human body performed by physicians. It covers most of the basic body systems, including the gut, system nerve system, lung system, and heart system. More examinations are not common but it depends on the patient’s clinical condition. Physical examination helps in confirming any persistent issues after a previous diagnosis. It also reveals persistent and hidden pathological entities. Physicians performing this examination always look for signs like the blood pressure, temperature, heart beat rate and respiratory rate. Performing physical examination incurs low costs because the only cost is, the labor cost (Memmlers, 2012). Many medical practitioners have recommended it as a screening test because it is non-invasive and significantly revealing. Doctors are important figures during this process because they make decision with regard to the patient’s clinical history. At times, physical examination requires extensive procedures involving the private body parts. In such situations, the patients must make consent. 2). Blood Pressure The measurement of blood pressure is a quick and painless process that provides the physicians with important information about the condition o f the heart and the body blood vessels. a). Doctors use the sphygmomanometer, also known as the blood pressure cuff, to measure the blood pressure. This instrument contains an inflatable cuff and a small pressure gauge attached to the cuff. The cuff wraps around the upper arm, but some wrap around the wrist or forearm. When taking the blood pressure, the doctor uses a stethoscope to the movement of blood through the arteries. The doctor will then inflate the cuff to a pressure that is higher than the patient’s systolic blood pressure. The first sound heard by the doctor through the stethoscope records as the systolic blood pressure. This occurs when the cuff’s pressure is in the process of reducing to reach stability. A second follows immediately the first whooshing one fades away (Memmlers, 2012). This is the diastolic blood pressure. The doctor measure with reference to the heart beat rate for the maximum pressure and the minimum pressure. b). Mr. Smith’s bloo d pressure was 160/100 The numerator (160) represents the systolic pressure, which is the maximum pressure of blood movement in the artery at that particular when the heart is working to supply blood throughout the body. The denominator represents (100) the diastolic pressure, which is the minimum pressure of blood movement in the artery in the moments between heartbeats and its resting state. c). The significant difference

Homeless Women in Canada Essay Example | Topics and Well Written Essays - 1250 words

Homeless Women in Canada - Essay Example Studies show the demographic statistics of women’s homelessness in Canada has changed a lot. As a result, women’s homelessness has been to attract various social, political and feminist movements’ attention. Indeed about one hundred years after the first â€Å"International Women’s Day†, women’s socio-economic condition in the country has gone down. Whereas ‘safe home’ or shelter is considered as one of the basic needs of human life, women are increasingly being deprived of this right to have a safe home. Indeed, homelessness further causes severe social problems such sex-trafficking, sexual harassment and abuse, violence, unwanted murder, drug trafficking, etc. Homeless women often live in abandoned buildings and places, and often sleep on streets in the urban areas of Canada. But in rural areas, they normally live in slum. Overview of the Problem of Women’s Homelessness When women’s homelessness is mentioned, the traditional picture of a bundled woman sleeping on the city-streets’ sidewalks may come to mind. But the reality about women’s homelessness is very much complex. Various statistics and studies in this field show that approximately â€Å"300,000 people are homeless in Canada.† (YWCA Canada, 2012) In 1980s, about 25-30% of these visibly homeless people, who lived on the sidewalks or in shelters in rural areas are women. But in 1990s, the presence of homeless women seeking for shelter in government and non-government asylums increased at a rate of 78% more than the rate in previous years. This increase in the 1990s was mainly contributed by the children of the homeless women whose only earning sources were begging and prostitution. As a result, the number of homeless young women increased at an alarming rate. But the number of families who owned houses previously also increased during the past decades. â€Å"Families experience homelessness, and single parent fami lies, mostly led by women, make up the majority of homeless families† (YWCA Canada, 2012). Having no shelter, no roof over their heads and no door to lock behind them for safety, these homeless women remain at a high risk of physical, emotional and psychological dangers. Indeed, because of their physical weakness, women are more vulnerable to outdoor dangers than their male counterparts. In a Fact Sheet prepared by the YWCA Canada (2012), it is said: â€Å"Many street-involved women are abuse and trauma survivors struggling with resulting mental health and addiction issues. Yet, there remains a severe shortage of detox beds dedicated to women. Street-focused programs specifically for women are few and far between.† (YWCA Canada, 2012) Causes of Women’s Homelessness in Canada Women are more vulnerable to homelessness than men are. Indeed, women are more vulnerable because of their low income and extended periods of poverty (Townson, 2005). In a study, Monica Towns on (2005) claims that â€Å"women are the poorest people in Canada† (p. 34). In 2003, about 1500000 women were living in severe poverty. This number is about 19% of the total female population in Canada. Obviously, this poverty-stricken population comprises of women of all ages. But it mostly includes adult women and adolescent girls. The average income rate of the women was 62% of men’s annual income (Statistic Canada, 2006). The number of homeless women varies according to race, age, disabilities, and marital status, etc. The rate of homeless women

Interrelation Between Foucauldian Concepts of Sexuality and Confession Essay

Interrelation Between Foucauldian Concepts of Sexuality and Confession - Essay Example Therefore, at the subconscious level of mind, the person learns through confession to acknowledge the social institutions (that boost up one another and that are interrelated with each other), in other words, the society as the power over his or her life, while learning to view body as an object that needs to be reigned carefully and to remain in continual vigilance. (Reich, 1966: 35-37) According to Foucault, how confession is related to sexuality essentially involves learning about the truth of human body or what Foucault calls the science of sexuality (‘scientia sexualis’). Indeed Foucault’s concepts of ‘confession and sexuality’ are indispensably interwoven with his â€Å"theory of social discipline† in the sense that his theory considers the physicality or the organic existence of body –a seat of needs and appetite- as a subject of politics and power. Foucault assumes that confession comprises â€Å"all those procedures by which th e subject is incited to produce a discourse of truth about his sexuality which is capable of having effects on the subject himself† (Foucault, 1980: 110). Confession produces subjectivity through the authority of speech about sex. Indeed confession and sexuality are related with each other through a power-subject relationship. (Tambling, 1990: 49) When sexuality represents body as a subject to power, confession plays a dual role in power mechanism. Not only has it provided power with the scope to exercise control over the body by informing power of the self-willed, honest and spontaneous truth about human body, but also it assists the confessor over the subject of confession, sex, by distancing it as an object to be discussed. Foucault believes that confession plays â€Å"a central role in the order of civil and religious powers†¦The truthful confession was inscribed at the heart of the procedures of individualization by power [and has become] one of the West’s mo st highly valued techniques for producing truth† (Foucault, 1990: 58). In the very first place, the obligation to confess itself is the sign of power’s influence on the individual, as Foucault writes about it: â€Å"the obligation to confess†¦is so deeply ingrained in us, that we no longer perceive it as the effect of a power that constrains us; on the contrary, it seems to use that truth, lodged in our most secret nature, ‘demands’ only to surface† (Foucault, 1990: 60). This urge of an individual to confess evolves his or her discomfort under the panoptic gaze of power. Smart (1995: 88) explains Foucault’s concept of panoptic as following: The Panopticon was to function as an apparatus of power by virtue of the field of visibility in which individuals were to be located, each in their respective places ... for a centralized and unseen observer. In this schema subjects were to be individualized in their own space, to be visible, and to be conscious of their potentiality constant and continuous visibility. (Foucault, 1975: 88) By confessing the confessor becomes affected in two ways: first, he or she becomes a part of power’s panoptic gaze, which imposes constant surveillance on sex, by internalizing it more; second, the confessor reaffirms his or her identity in term of power relations, since sex holds the truth of

Improve communication Essay Example for Free

Improve communication Essay The reason why Carly didn’t come to me earlier to report the project delays was because she knew the reasons of the delay were not genuine. She was definitely part of the problem and therefore she didn’t have the language of reporting the conflict that was affecting the team project. Also, since the rest of the team knew her weakness she knew if she reported the case to me I would involve the rest of the members thus exposing her weaknesses. Carly hasn’t had a conversation with Morris about their differences despite being the supervisor since she was aware of the root cause of the problem (herself). On the other hand, Morris did not break the ice and discuss the problem with Carly because he assumed that it was Carly’s responsibility as the manager to approach and solve all differences. Furthermore, it was clear to him too of Carly’s participation in the problem. He had also been treated unfairly by Carly and this made it difficult for him to approach Carly. Coupled with the fact that Morris was more educated than Carly, pride could not be ruled out. If Morris had had a conversation with Carly, he would have mentioned about his unfair treatment to her. I tend to think since the other team members knew that Carly was treating him unfairly, this would have been his motivator to mention of this problem. He knew he had support from the entire team. As for Carly, I bet she would have owned up to this problem and promise Morris of a fair treatment in their future interactions. After such a conversation she would have realized that she was losing a key team member and the other team members had observed it previously which would also affect the whole team thus portraying her as an incompetent manager. For Carly to have been given this role of a project manager meant she had positive leadership qualities and therefore would have owned up to her failures. Failure to accept her mistake would have left her as a lone ranger thus breaking the team spirit. The biggest problem with the way these team members interacted lied on communication breakdown and barriers. This is because it’s clear the other team member had noticed the dispute but no one had shared about it with me or even asked Carly or Morris. Teamwork was minimal in this team and this would have affected this project very adversely if not handled well and quickly. To break this communication barrier and improve communication, it would be beneficial for the team to encourage more frequent and effective upward, downward and team communication. With more communication, any arising problem would be handled well in advance before affecting the project negatively. I think Carly should continue serving as the project manager. This because having discussed the dispute openly, the parties would have understood the facts of the problem and hence allow them to see their areas of agreement, thus turning the conflict into new ideas of enhancing teamwork in the project.

Mashua :: Botany

Mashua Mashua (Tropaeolum tuberosum Ruiz & Pavà ³n 1802), also known as isanu, cubio, aà ±u, ysaà ±o, or puel, is a tuber crop indigenous to the Andean highlands and is of economic value as a food and medicinal crop. This root crop ranks fourth in importance in the Andean region after potato, oca, and ulloco (NRC, 1989). Of the Andean tubers, mashua is one of the highest yielding, easiest to grow, and the most frost resistant. Mashua is cultivated in the Andes of Bolivia, Peru, Ecuador, Columbia, and Venezuela (Gibbs et al., 1978). It is currently being grown experimentally in New Zealand and the Pacific Northwest to evaluate its potential for worldwide cultivation (Soria et al., 1998). The tubers of T. tuberosum are an important source of food for around 9 million people living at elevations of 2500 to 4000 m throughout the Andes mountains (King and Gershoff, 1987). Mashua is an annual, herbaceous climber that belongs to the family Tropaeolaceae which includes about 100 species. Tropaeolum tuberosum is closely related to the garden Nasturtium, Tropaeolum majus L. (Vaughn and Geissler, 1997). Tropaeolum tuberosum grows to over 1-1.5 m in diameter and 0.5-0.8 m high with slender and cylindrical aerial stems. Both erect and prostrate forms of mashua are known. Mashua has alternate, circular, peltate, 3- to 5-lobed leaves, and glaborous, twining stems that attach themselves to other plants by tactile petioles (NRC, 1989). The flowers are long-stalked, solitary, axial, bisexual. The color of the flowers range from dark yellow, orange, and scarlet. The fruit is a schizocarp with three indehiscent carpels that contain joined seeds lacking endosperm (NRC, 1989, Torres et al., 1992). The seeds are abundant and viable at maturity although since mashua is propagated asexually many asexual forms have arose which occasionally set seed. The tubers of Tropaeolum tuberosum are produced on axillary stolons which enlarge to form terminal, elongate tubers which are slightly roughened from enlarge scale leaves (Sperling and King, 1990). The tubers vary in color from white to yellow with occasional variants that are purple or red. They are often striped or mottled red or purple, especially underneath the eyes. The flesh of the tuber is yellow (NRC, 1989). History Mashua has been cultivated since ancient times and tubers are often found in archeological sites (NRC, 1989). Pre-Incan pictograms representing potato, ulluco, oca, and mashua have been found which show evidence the importance of these tubers even in those times (Hodge, 1946).

Overcoming Bullying: King Essay Response Essay

​Bullying is a common problem effecting people ever. You can be bullied on any number of things; sexuality, style, opinion, and personality, just to name a few. Everyone deals with bullying in their own way. Some choose to ignore bullying and some choose to confront their bully head on. There are also some people who tell someone older and more experienced about their problems. Some of these methods are the right things to do, while others are not the advisable choice. I believe that everyone can come up with a suitable solution to this problem that benefits everyone involved. ​The easiest solution to this problem is to ignore the bully and hope that eventually the bully will grow bored and stop. This is not a very effective method for two fairly obvious reasons; one being that the bully may just come up with even more hurtful things to bombard you with, and the other being that if the bully chooses to leave you alone, he/she will just find a new victim to taunt, which doesn’t really solve any problems. ​The next best thing to do would be to inform an adult of what is going on and hope that they will be able to put a stop to hit. This is also not the most advisable method to stopping a bully because it will just anger the bully further. They will resent you for getting them into trouble. They might decide not to attack you in the sight of an adult but the bullying will grow worse when the two of you are alone. That doesn’t solve any problems and can in fact make things a lot worse. There is also a chance that the bully may bring some of their friends into the mix, so if caught him/her are not the one that stands accused of being a bully. ​The smartest action to take when putting a stop to bullying would be to confront the bully face to face. I’m not advising that anyone should fight because all violence does is cause problems. When being bullied I find that is best to discuss any issues with the bully so that matters can be straightened out and leave ever y party satisfied with the outcome. In some situations the bully may not realize that their actions are causing hurt feelings. When you confront the bully on these issues you show them how they are being hurtful so in the future they know not to say these things again. In other situations you may find that the bully is also being bullied by someone else and that in bullying you they are making themselves feel better about their situations. In  confronting them you discover this and that might prompt you to extend the hand of friendship, which would no doubt offer them moral support throughout their own difficult situation. ​Other people may feel like dealing with bullying in their own way. Some people find it easier to ignore the problem and hope that it goes away and others may think that bringing and adult into the situation will help solve the problem. Not every case of bullying is the same and not every method may be appropriate when dealing with certain cases of bullying. I believe that discussing your problems with the bully is the best solution and I try to do just that when I feel s though I am being picked on. Discussing a problem produces a solution beneficial to everyone and it is the step I recommend for anyone who is dealing with a bully. I hope that everyone will make this decision when confronting a bully, because it is the best way put an end to bullying. If everyone discusses the problems they are having with someone straight away violence wouldn’t be such a big issue, and I’m not just talking about violence between teenagers but violence between nations. If issues would be cleared up straight away there would be no need for violence and everyone could just get along. I believe that one day, if everyone discusses their problems and issues everyone will get along, putting an end to this unnecessary hurt. ​ ​​ ​​​​​​​​​​​

Argument Against Universal Health Care in the Us Essay

Argument Against Universal Health Care in the Us BY shaker71493 Jacob Nieuwenhuis Contemporary Issues MSR 10 March 2010 Universal Health Care in the United States â€Å"Of all tyrannies, a tyranny sincerely exercised for the good of its victims may be the most oppressive. It would be better to live under robber barons than under omnipotent moral busybodies. The robber baron’s cruelty may sometimes sleep. His cupidity may at some time point be satisfied; but those who torment us for our own good will torment us without end for they do so with the approval of their own conscience. † -C. S. Lewis (1898 – 1963) The issue of universal health care taking over the present health care system has become a heated topic all over America. With President Obama’s promise to pass a bill that will give government coverage to all Americans, most people were happy that health care would become more affordable for them. But is this the case? There has been a stiff opposition to the passing of any bill of this kind throughout the entire process, but the longer a bill stays in circulation the more time people have to form an opinion on the issue. With the law in effect now the issue now turns to if this will e better off for America in the long run, and if there is any good to such a system. History has a lot to say about socialized medicine. There have been many countries, not only socialistic countries which have used a public method of offering medicine. A few of these countries are Great Britain, Canada, France, Australia, and also the European system. These systems will be analyzed from their ro ots up in order to see whether they were successes or failures. The National Health Service (NHS) of Great Britain, which was created on July 5, 1948, is the world’s largest publicly funded health service ever. As can be seen on the diagram, the NHS is divided into two sections: primary and secondary care. Primary care is the first point of contact for most people and is delivered by a wide range of independent service providers, including general practitioners, dentists, pharmacists and optometrists. Secondary care is known as acute healthcare and can be either elective care or emergency care. Elective care means planned specialist medical care or surgery, usually following referral from a primary or community health professional such as a general practitioner. In this system there are a lot of different trusts (refer to iagram). These trusts are where the money is sent for certain types of care. The main trusts are the Primary care trusts. Primary care trusts (PCTs) are in charge of primary care and have a major role around commissioning secondary care, providing community care services. They are the main core to the NHS and control 80% of the NHS budget. Green, did a report on the effects of preventive care in Great Britain for diseases such as circulatory disease and cancer. His main focus was on the circulatory system and the conclusion of his reports states that: â€Å"The main findings can be summarized as follows. The I-JK has a poor record of preventing death from diseases of the circulatory system. After allowing for the different age structure of each country in the European Union, the I-JK death rate from circulatory diseases for persons aged less than 65 was ranked thirteenth out of the 15 countries studied. † There are many negative aspects of the NHS. There are stunning reports of people who didn’t get care, or who waited for months in order to get prevented care. One example of a terrible thing that happened recently in Great Britain was a cancer patient who had to wait for 62 weeks before starting treatment. Patients were outraged by this. They said that for some cancer patients with slow growing tumors could wait that long but that it is atrocious that someone would have to wait that long to receive any type of care at all. It was compared side by side with a case from 20 years earlier, when Heather Goodare was diagnosed with the same problem and eceived treatment within two weeks after first being diagnosed. The European system has run into a lot of obstacles over the years, mostly financial. There is currently a 5 percent to 8 percent increase in expenses per year in real terms, resulting in enormous deficits and even greater problems when the rate of unemployment rises. When employment rates improve, the deficits are eased because more taxes come in to pay for care. But as soon as employment falls again (which is common everywhere right about now), deficits come back. A common method used for getting over this deficit is rationing care and restricting use of high ost preventive cares such as CAT scans. Sometimes this is only towards people who meet a certain criteria, e. g. the elderly. This can only be bad for the consumer. Michael Tanner sums this up nicely in his article condemning socialized medicine in the U. S. : â€Å"The Europeans have run into a very simple economic rule. If something is for it. Think of it this way: if food were free, would you eat hamburger or steak? At the same time, health care is a finite good. There are only so many doctors, so many hospital beds and so much technology. If people over consume those resources, it drives up the cost of health care. â€Å" All the countries in Europe have this health care system. There are, however, three countries in Europe that allow their citizens to opt out of the official system and to take with a tax credit for the money they paid to the official system, to purchase private insurance in the health market. These countries are Germany, the Netherlands, and Switzerland. In those countries, citizens do not have to pay twice in order to acquire private health insurance. The systems of these three countries are important in that they may point the way to a solution for the current financial problems Western health care systems are experiencing. This private plan is more expensive but reachable for at least a third of the population. For the most part, people in Europe are happy with the health care they receive. In the Netherlands there is a basic plan that everyone can buy (it is not a government mandate). This covers things such as broken limbs, emergency room visits Oust the visit), and seeing general practitioners. On top of this, a person may buy whatever â€Å"premium add-ons they want. An example of an add-on is dental and orthodontic care. With this add-on all the people in the household of the insurance buyer receive ull dental care as well as braces for all the children of the family. Trudy Rubin, who is a Philadelphia Inquirer opinion columnist, says that the United States is not learning valuable lessons from the European system of healthcare. She addresses the three myths that she thinks are thought to be believed as fact. She takes these myths from an excerpt from T. R. Reid. The three myths are as follows: à ¢â‚¬Å"Myth No. 1, he says, is that foreign systems with universal coverage are all â€Å"socialized medicine. † In countries such as France, Germany, Switzerland, and Japan, the coverage is universal while doctors and insurers are private. Individuals get their insurance through their workplace, sharing the premium with their employer as we do – and the government picks up the premium if they lose their Job. Myth No. 2, which is long waits and rationed care – is another whopper. â€Å"In many developed countries,† Reid writes, â€Å"people have quicker access to care and more choice than Americans do. † In France, Germany, and Japan, you can pick any provider or hospital in the country. Care is speedy and high quality, and no one is turned down. Myth No. 3 really grabs my attention: the delusion that countries with universal care â€Å"are wasteful systems run y bloated bureaucracies. † In fact, the opposite is true. America’s for-profit health insurance companies have the highest administrative costs of any developed country. Twenty percent or more of every premium dollar goes to nonmedical costs: paperwork, marketing, profits, etc. â€Å"If a profit is to be made, you need a n army of underwriters to deny claims and turn down sick people,† says Reid. † Canada is another place where health care is run by the government. This came into effect when the parliament unanimously passed the Canadian Health Act in system. Under this law, provinces must ensure that their health care systems respect ive criteria: The first is public administration. This means that the health insurance plans must be administered by a public authority who is accountable to the government. The second is comprehensive benefit. The plan must cover all medically necessary services prescribed by physicians and provided by hospitals. The third is universality. This means all legal residents of the province must be covered. The fourth criterion is portability. Under this, residents continue to be covered if they move or travel from one province to another. And the final criterion is accessibility. This means that services must be made available to all residents on equal terms, regardless of income, age, or ability to pay. The process which a patient goes through to receive health care is very simple. When a person goes to a doctor for any kind of medical treatment they have to present what is called a provincial health card. This is a credit card-looking piece of plastic that lets your physician know you are a legal user of the system