...first protocol is a rapid screen for Acute Coronary Syndrome (ACS). American Heart Association and the American College of Cardiology have both published literature in support of the use of an electrocardiogram (EKG) within 10 minutes of arrival for patients who present with acute chest pain in order to rapidly identify acute coronary syndrome. Research shows that obtaining the EKG in 10 minutes greatly improves the time it takes to identify a ST-segment elevation myocardial infarction (STEMI) and decreases the time from “door to balloon”. Door to balloon is a term widely used to describe the interval between the time a patient arrives in the emergency department and the first inflation of the angioplasty balloon percutaneous coronary intervention (PCI). Prompt revascularization is important because...
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...Childhood Obesity Family-based treatment is more effective than individual treatment for childhood obesity diagnoses in America. Childhood obesity is a medical condition in which a child has excessive body mass index for the child’s age and height. Childhood obesity is a growing problem which has led to an epidemic in America. There are several contributing factors which lead adolescents to be diagnosed with pediatric obesity. Some American medical professionals are focusing on preventing and diminishing pediatric obesity with individual treatment, however, according to the American Heart Association, If parents are unhealthy, children are likely to be unhealthy too” (American Heart Association, 2011). Family-based treatment regulates the effects of childhood obesity over the long term versus individual treatment for adolescents and teenagers, which is a short term solution. Childhood obesity affects one in three children and teens in the United States, causing the rate to triple since 1963 (American Heart Association, 2011). Pediatric obesity involves children two to twenty years of age, where the child or teen has excessive body fat for their age and sex. Excessive body fat occurs when energy ingested is more than energy burned off by a child or teenager. A few symptoms of child obesity are sleep apnea; when a child or teen stops breathing in his or her sleep for a short period of time, hip or knee pain, difficulty in breathing such as; asthma, headaches, skin conditions...
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...Although temperate relationships suggest extensive overlap between methods of ADHD symptoms and measures of child functioning, these remain somewhat dependent constructs.18, A decrease in indicator counts, therefore, may not result in a equivalent increase in adaptive functioning. Kids with ADHD present supplementary deficiencies in adaptive functioning than reins without ADHD. Moreover, adaptive functioning gives the impression to be an important forecaster of longer-term outcome. Children meeting the complete DSM-IV impairment principles for ADHD at ages 4 to 6, for example, are more likely to display a full ADHD identification at 3-year follow-ups.25 Even though processes of adaptive functioning commonly mend in reaction to both psychosocial and pharmacological interventions,26 prescriptions treatments that shrink ADHD indicators may, alter their effects on hunger, rest, growth, and greater than before problems...
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...Christian Charria December 15, 2014 Psy of Personality Child Abuse Child abuse is the physical, psychological, or sexual abuse, or neglect of a child by a caregiver responsible for the child’s welfare (Fryer 80). Although it is easy to see the harms child abuse causes to a child physically, many fail to realize the social and emotional damages that are triggered in early childhood development and continued throughout adolescence and adulthood. Victims of child abuse mature into troubled adults with lasting emotional and psychological problems, along with a sense of rejection and frustration which is passed on to future generations. Child abuse victims need to be treated to prevent not only the possible permanent physical or psychological scarring, but to also break the violence breeding generation cycle (Fontana 9). Children have been beaten, violated, and murdered, and sadly these cases have been increasing during past decades (Fontana 3). This maltreatment occurs among all types of families and is not limited to any particular racial, religious, economic, intellectual, or social group (Fryer 15). There are various forms of child abuse; though the four most prevalent types include physical abuse, sexual abuse, emotional/psychological abuse, and neglect, all of which place very damaging effects upon its victims (Fryer 14). Over the past several decades, however, major concern has shifted from the physical damages of child abuse to the permanent psychological damages that affect...
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...Case Study – Week 2 seminar China's Export Boom By Oded Shenkar China has replaced the U.S. as the world's top tech exporter. While no cause for panic, it's a wake-up call for the complacent. According to the Organization for Economic Cooperation & Development (OECD), China has overtaken the U.S. to become the world's largest exporter of informationand communications-technology goods. Crossing the largely symbolic threshold should put to rest outdated notions of China as a manufacturer and exporter of cheap T-shirts, though the country won't give up its thriving garment exports as it steps up production of laptop computers and memory chips. Indeed, China's ability to hold on to the labour-intensive segments of the global marketplace as it climbs the technology ladder is one of the unique features of the country's ascent -- and a remarkable source of resilience for its economy. It's also a factor in the country's $100 billion-plus trade surplus with the rest of the world and double that figure with the U.S. KNOWLEDGE PLAYER. It's easy to dismiss the importance of China's taking the lead in technology exports. Its tech goods contain substantial imported content, not to mention foreign technology, be it transferred, licensed, or "borrowed." Roughly 60% of exports are made by foreign-invested enterprises, and the percentage progressively rises with the technology level. So is China merely an export platform, a convenient low-cost base for the world's multinationals, which in turn...
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...According to Gloria Reeves and Bruno Anthony at the University of Maryland in the Child and Adolescent Psychiatry Division, the treatment for adolescents with depression study treats 327 adolescents ages 12 to 17 diagnosed with major depression disorder randomly with short-term treatment of fluoxetine, cognitive behavioral therapy, a combination of cognitive behavioral therapy and fluoxetine, or a placebo over a 12-week period (3). The remission rate after 12 weeks of treatment was 37% in the combination group, 23% in the fluoxetine group, 16% in the CBT group, and 17% in the placebo group (Reeves 3). It is obvious that combining medication and therapy provides significantly better results in adolescents because the remission rate was more than doubled compared to the CBT group or the placebo group. Combining the two treatments allows teens to not only mend the personal struggles in their lives, but it also allows them to combat the biological problems in their brains. Not to mention, when combining medication with psychosocial interventions it provides parents with the opportunity to play an active role in treatment (Reeves 4). For instance, a multimodal approach allows for time to address parental concerns about the treatment of their child, track adherence to pharmacotherapy, and educate parents...
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...known as a fracture. Fractures are commonly caused by a fall; strike from an object, or by twisting or bending of the bone. What Is an Incomplete Fracture? When the bone is only cracked or partially broken, doctors refer to it as an incomplete fracture. What Is a Hairline Fracture? A hairline fracture is an incomplete fracture, like a crack that does not break all the way through the bone. It usually is the result of a relatively minor injury. What Is a Greenstick Fracture? A greenstick fracture is an incomplete fracture that is similar to the break of a young tree branch. Only one side of the bone breaks causing the bone to bend. Both hairline and greenstick fractures are usually treated by immobilization with a cast to allow it to mend. What Is a Complete Fracture? When the bone is broken into pieces, doctors refer to it as a complete fracture. What Is a Simple Fracture? A simple fracture is a complete fracture where the bone is broken into two fragments. This break can be transverse (which means straight across the bone), oblique (which means at an angle)....and spiral (which means an angle that is twisted). What is a Comminuted Fracture? A comminuted (or multifragmentary) fracture is a complete fracture where the bone is broken into several fragments. This type of fracture is usually a result of a severe injury. Both simple and comminuted fractures are usually treated with immobilization with a cast or sometimes with pins, screws, and plates. If You Fracture...
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...distinguishing characteristic of domestic violence is its innate ability to affect individuals regardless of age, race, nationality, or economic status. Although countless studies have researched the adverse effects of domestic on battered women, the effect of the violence on the children involved has been greatly ignored. It has been determined through myriad studies that domestic violence not only affects the mother’s caregiving abilities but also...
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...ABSTRACT Due to the many challenges that couples and families are faced with, they may find themselves dealing with problems and situations that they are unsure how to resolve. It is during this time, couples or families may seek out the help of marriage therapist. The purpose of this paper is to examine a brief history and the development of marriage and family therapy, and its importance to the counseling field. Five aspects of this field will be discussed: roles of marriage and family therapist, training and licensure requirements, techniques used in marriage and family therapy, client or therapist initiated termination, and confidentiality. Also, important elements of counselor identity, function, and ethics related to marriage family therapy will also be discussed. The author will also provide biblical values and insights related to the field of marriage and family therapy. In conclusion, the author will discuss their commitment to provide biblically- Keywords: family therapy, marriage therapy Marriage and Family Therapy Because of the many challenges families are faced with, marriage and family therapy has received increased attention. Overtime, the family structure has become more diverse. Families are no longer your typical nuclear family, where Father, Mother, and children live under one roof. At the present time, families may consist of step-parents, step-children, grandparents, adopted children, single parents, aunts and uncles, and same-sex couples...
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...Manners and Chivalry: Dead in Society? Thomas James Composition 1 Mrs. O’Connor 28 November 2013 Abstract Manners and chivalry in society have become a thing of the past. Today’s new technologies and peer pressure and marketing schemes of corporations, combined with lack of parent intervention have negated the skills. From the move of women into the workplace and to their full equality, men have lost their gentleman attitude toward the female species. In combination with lack of proper family time and negative detrimental media output, it has altered the way our youths act in society. Furthermore, turning our whole way of life as it used to be into something where we ask ourselves “do I want to bring a child into it?” Manners and Chivalry: Dead in Society? A glance through history tells of days of women and gentleman and the well-known romantic courtships of history. Evolution of modesty in relationships of past, to the present open sexually explicit relationships displayed on television, have desensitized the worlds youth perspective on moral behavior. Has the gift of technology, and a hectic life’s work schedule, taken the parent away from the home so much, that kids are teaching other kids habits that parents don’t condone? The time has come for society to pull back on the reins on socially and morally unacceptable behaviors. Chivalry, defined by Merriam Webster’s dictionary, states “An honorable and polite way of behaving, especially toward women” (Webster). This is a...
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...TOBACCO USE IN POLAND 11/8/2012 HCM657-DL Introduction Smoking causes a long list of diseases, leading to premature death in half of all smokers. Tobacco is implicated in numerous cancers including bladder, kidney, larynx, mouth, pancreas, and stomach. Lung cancer is the most common disease caused by smoking. Smoking is also a major cause of cardiovascular diseases, including strokes, heart attacks, and respiratory diseases such as emphysema. Many additional costs are generated due to health issues caused by smoking. Poland is slow in bringing around tobacco control, but continued advancements and increased social awareness is changing the perspective of many smokers. According to the World Health Organization – Europe 2009 report, there are approximately nine million tobacco-smokers in Poland, representing 29% of the country’s adult population. Results of a national survey conducted in 2007 indicated that 34% of men and 23% of women smoked on a daily basis. Tobacco-smoking has been a persistent and serious social problem for many years. (1) Tobacco use is the single most preventable cause of death in the world today, killing as many as half the people who smoke tobacco. Global Adult Tobacco Survey (GATS), conducted in Poland in 2009-2010, was a nationally representative household survey (2). This was conducted by men and women aged 15 and older regarding tobacco consumption. The reasoning behind the survey was to produce internationally comparable data on tobacco...
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...Journal of Education and Practice ISSN 2222-1735 (Paper) ISSN 2222-288X (Online) Vol.4, No.6, 2013 www.iiste.org Causes, Effects and Ways of Curbing Youth Restiveness in Nigeria: Implications for Counselling Happiness Ihuoma Igbo1* Innocent Ikpa2 1. Department of Educational Foundations, Benue State University Makurdi, Km 1, Gboko Road, PMB 102119, Makurdi, Benue State, Nigeria. 2. Department of Educational Foundations, Benue State University Makurdi, Km 1, Gboko Road, PMB 102119, Makurdi, Benue State, Nigeria. * E-mail of the corresponding author: hapigbo@yahoo.com Abstract The study was a survey designed to investigate causes, effects and ways of curbing youth restiveness in Nigeria. Three research questions were formulated. A total of 200 National Youth Service Corps members were sampled from 1200 Batch B 2012 Benue State. An instrument titled “Causes, Effects and Ways of Curbing Youth Restiveness Inventory” (CEWYI) was used to collect data. Data was analyzed using frequencies and percentages. The result revealed that youth restiveness is mostly caused by illiteracy, unequal distribution of national resources, poor child upbringing among others. The effects include upsurge of social vices and destruction of lives and properties while the result also revealed that it can be curbed through skill acquisition programmes and enlightenment against the phenomenon. The paper concluded that counselling could be an effective way of curbing youth restiveness in Nigeria. Keywords: Youth...
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...NURSING MANAGEMENT OF A STROKE PATIENT INTRODUCTION Stroke is the only largest cause of adult disability which leaves a devastating and lasting effect on people and their families (DoH, 2007a). The government of the United Kingdom had recognized stroke as a health care priority. Several government agencies developed clinical guidelines which are being implemented today in local health care settings (Williams et al, 2010a). This essay will focus on stroke as the cause of impaired mobility and will tackle on the patient-centered rehabilitation care plan along with its evidence-based rationales. Health and social care policies and its effect on the patient’s chosen journey will also be discussed. PATIENT PROFILE This is a case of a 68 year-old, married female who lives in the south of England. Mrs. G was admitted on 12 October 2010 with a presenting complaint of left-sided weakness. Prior to admission, she experienced persistent pain on the back of the head for 2 days, which was unrelieved by Paracetamol intake. On the morning of admission, she collapsed in the bathroom and was found by the husband after 3 hours. She was brought to the hospital via ambulance and upon initial assessment, no shortness of breath, slurred speech, dizziness, palpitation and chest pain were noted. Her vital signs were as follows: blood pressure of 169/59 mmHg, pulse rate of 80 bpm, respiratory rate of 18 breaths per minute, body temperature of 37.5 degrees...
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...Section 5 School Examples, Student Case Studies, and Research Examples • School Examples, page 5.3 – School-Wide Screening, page 5.4 – Progress Monitoring, page 5.5 – Tiered Service Delivery, page 5.9 – Data-Based Decision Making, page 5.13 – Parent Involvement, page 5.16 – Resources, page 5.22 August 2006 Overview In November 2002, the United States Department of Education requested that the National Research Center on Learning Disabilities (NRCLD) identify, describe, and evaluate the implementation of responsiveness to intervention (RTI) in elementary schools throughout the United States. The NRCLD staff worked with the six Regional Resource Centers (RRCs) to identify potential sites and solicit school participation. More than 60 schools across the country initially were considered, and information from 41 of those schools was submitted. The NRCLD research staff reviewed the extensive amount of information submitted and judged that 19 of those schools were engaging in one or more commendable RTI practices based on a review of the following six components of an RTI service-delivery model: • School-wide screening. Screening is a type of assessment characterized by quick, low cost, repeatable testing of critical academic skills or behaviors and can be administered by individuals with minimal amounts of training. A screening measures whether a student should be judged at risk. If a student meets the criteria for at-risk status, he or she is considered for more in-depth...
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...My grandfather (father’s father) has been married twice. His first wife divorced him 6 months after he got married to her because he was very poor and could not fulfill all of her wishes. They have a daughter from first marriage. He married my grandmother in the same year he got divorced from his first wife in the year 1953. His financial conditions improved after he got a divorce from his first wife. His behavior was very different towards his second wife. He was very controlling of my grandmother. He often used cuss words to address her. This was from the beginning of the marriage. There could be a possibility that he might have developed some kind of hatred towards women because of his first wife leaving him and he took out that hatred on my grandmother. She was however, a very subdued kind of person. She never retaliated to it. I wasn’t there to witness their entire relationship, but from what I have heard, his behavior towards my grandmother did not improve during their entire marriage. My grandmother used to complaint to my grandfather that their daughter in laws misbehaved with her and did not give her the respect that she deserved. However, my aunts deny doing that. The only reason that I can think of her behaving this way is because she wanted to gain sympathy from my grandfather. She wanted his attention and love, which she never received. He died because of Liver cancer. He was firstly diagnosed with jaw cancer and later on with liver cancer. He was an alcoholic and...
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