Thursday, December 26, 2019

Oliver Jeffers A Successful Career For The Art Community

As a child growing up we have all got asked the famous question, what do you want to be when we grow up? Either the question was answered with a simple I want to be a doctor, a nurse, a lawyer, and or a football player. After the individual got the respond they were looking for, you were told that you can be anything you want to be once you put your mind to it. As you get older you study that question research information in and out of high school which we explore all the many career paths there are out there to match will our talents. Once the question is asked again now you’re older the advice they give you changes depending on the occupation. For example if you tell them that you want to become a painter or a writer. They will tell you there is no money in that career and convince you to change your dreams. Therefore, with that being said Oliver Jeffers has a successful career in the art community, art is everywhere and it impacts use weather it is visual or literature. Acc ordingly, the definition searched from google is â€Å"the expression or application of human creative skill and imagination, typically in the form of painting, music, literature and dance† (chiodo). Art is way more than that art is self-expressive. Art is passion it tell a story which can be interrupted in many ways depending on the viewers. Art can be an emotional experience for both the artist and the audiences. Art is really in the eyes of the beholder, which means that an individual has the potential

Wednesday, December 18, 2019

Increasing Literacy in Children Kindergarten through...

Illiteracy has been a reoccurring predicament ever since people have been able to read. Either children do not understand how to read and write in school, or they require extra help in becoming skilled in the areas of reading and writing. After school programs were created to help schools increase the literacy development in children. An after school program is defined as a program that offers its services to children after school to help them with arts, crafts, sports, or homework. Are after school programs fulfilling their duty to increase the level of literacy in children? After school programs are increasing the level of literacy in children kindergarten through sixth grade because they were created to help children increase†¦show more content†¦An article in the Journal of Adolescent Adult Literacy quotes that â€Å"clearly, if these children were attending after-school tutoring sessions, they needed academic help† (Clark par.16). The entire purpose of an after school program is to provide more individual time with children to increase their literacy levels. To offer these after school programs, most people assume that millions of tax dollars are being spent when the money could be used for something more productive. In response to this, what could be more important than spending money in order to see more children being able to read and write? If children kindergarten through sixth grade are not given the proper instruction on how to read and write, then how will they learn to live in a world where it is necessary to utilize those skills on a daily basis? The report â€Å"Reading Next,† written by five nationally renowned educational researchers and reviewed by the Adolescent Literacy Funders Forum (ALFF), said, â€Å"American youth need strong literacy skills to succeed in schools and in life† (Biancarosa 3). For a child to succeed in school and life, should not action be taken immediately before he or she goes through more of his or her life without the essential basics of reading and writing? An article written by two people from the University of Oxford says that â€Å"early intervention is more effective and, in the long run, more economical than waiting untilShow MoreRelatedIncreasing Student Achievement For Reading Through Implementation Of The Daily 52357 Words   |  10 PagesLauren Davis Increasing Student Achievement in Reading through Implementation of the Daily 5 SPE 609 – Action Research Fall 2013 University of Alabama â€Æ' Increasing Student Achievement in Reading through Implementation of the Daily 5 School Description This action research project was completed at Benjamin Davis Magnet Elementary School in Decatur, Alabama. Benjamin Davis is a primary magnet school in the Decatur City School District that serves 255 children in kindergarten through grade two. 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Monday, December 9, 2019

Clinical and Experimental Ophthalmology

Question: Discuss about the Clinical and Experimental Ophthalmology. Answer: Introduction: The patient presents with hypertension. The patient has a history of hyperacidity, hyperthyroidism, an elevated BMI above 40 and a 20-year loss of vision in the left eye. Mrs XXX has undergone a cataract removal surgery in her right eye. On admission, she presented with a heavily discharging left eye with poor vision, hypertension, an elevated left eye intraocular pressure, and anxiety. This case is significant because it covers the viral eye infections that occur in patients with diabetes mellitus. As such, there are three priority concerns about the case of Mrs XXX. The first one is the orbital viral infection that is exacerbated by type II DM. The elimination of this viral infection is the goal of my management. This goal will be achieved by administration of topical acyclovir. The patient will then have reduced discharges from the eye. Secondly, the elevated blood sugar levels are dangerous to the health of Mrs XXX and the management using antidiabetic agents is a priority. The b lood sugar levels will be reduced to a normal of between 65 and 110 milligrammes per deciliter (Fogli, Mogavero, Egan, Del Re Danesi, 2016). Lastly, the high blood pressure that Mrs XXX has is also a priority that I will manage using antihypertensive drugs. The goal is to normalise the pressure to a systolic of between 95 and 140 mmHg and a diastolic of between 60 and 90 mmHg (Fogli et al., 2016). Administration of topical acyclovir Mrs XXX presents with viral ocular infection, and therefore, the nursing intervention is to administer topical acyclovir and an anti-inflammatory agent such as prednisolone (Patrone, Eriksson, Lindholm, 2014). The conservative treatment with topical acyclovir, which acts to relieve the viral infection and suppress its further multiplication in the eye, is the lead remedy against the eye problem (Patrone, Eriksson, Lindholm, 2014). I will also use a low dose of a topical anti-inflammatory to relieve pressure that is exerted on the eye thereby restoring comfort especially in the case where visual ability is impaired. In this case, I administered prednisolone eye ointment (Patrone, Eriksson, Lindholm, 2014). The inflammatory process is the primary cause of tearing and excessive discharge from her left eye. Takakura (2014) was very categorical when explaining the need to use prednisolone because precautions are necessary, but its effectiveness is satisfying (Takakura et al., 2014). Also, I would irrigate the eye. Irrigation of the eye with an ophthalmic fluid prevents the spread of infections from the optic secretions by cleaning them out. The irrigation of Mrs XXXs eye with an ophthalmic fluid that I would initiate is meant to eliminate the discharge from her left eye, which has been blind for the past 20 years. The discharges from the eyes harbour microorganisms that can further cause damage to the eyes through localised infections. It also prevents the spread of the condition to her right eye through the optic chiasma and even the physical factors such as rubbing which are not evident in Mr XXXs history. In addition, I used timolol because Mrs XXXs IOP was raised to greater than 40 (Kempen et al., 2014). Educating a patient on various aspects of eye care and management prevents complications that may cause blindness. Often, diabetic patients ought to be partakers in their own care as opposed to being passive receivers of interventions (Misra, Braatvedt, Pat el, 2016). Educating Mrs XXX on the complications of hyperglycemia and the actively taking part in making decisions helps in being vigilant and understanding the necessary steps to undertake when alone. Administration of glipizide On the other hand, I administered glipizide together with metformin to manage the blood glucose levels. This drug is important because it enhances the pancreatic activity in the release of insulin (Patrone, Eriksson, Lindholm, 2014). Thus, it ensures that enough insulin is supplied to the tissues to help reduce blood glucose thus managing type II DM. Importantly; glipizide is very effective when utilised together with exercise and nutritional considerations (Patrone, Eriksson, Lindholm, 2014). Mrs XXX benefits a great deal from this drug since her body has a tendency of insulin resistance due to obesity as Scheen explains (Scheen, 2014). Again, precautions are necessary because the drug may lead to severe hypoglycemia due to increased effectiveness thus leading to shock and death (Scheen, 2014). The cataract in Mrs XXXs right eye was removed through a surgical operation as a corrective measure, and I will review it because cataracts mostly resurface (Scheen, 2014). To administer Metformin as prescribed. Metformin acts on the body by preventing the production of non-sugars into sugars, which occur in the liver thus maintaining a normal glycemic state (Herman, 2015). This nursing action that I initiated on Mrs XXXs was meant to battle her elevated blood sugar levels, and it was timely and necessary because of the use of metformin. It also improves insulin sensitivity to tissues leading to glucose being transported into the cells thus helping in the reduction of blood sugar levels to normal ranges of 4mg/dl -6mg/dl. It also decreases the ability of the intestine to absorb sugars into the blood stream and in turn promotes the utilisation of available glucose by tissues and the peripheries (Herman, 2015). In Mrs XXXs case, this drug is very effective because the major condition that she suffers from is type II DM. However, the effectiveness of this medication can be further improved when it is used in combination with insulin, a phenomenon that miss es in the management of Mrs XXX. Furthermore, there is need to monitor acidotic levels in blood because metformin may cause lactic acidosis (Herman, 2015). Importantly, the side effects of this drug ought to be uncannily explained to Mrs XXX, for instance, numbness in the extremities, uneven heart rate, stomachache, nausea, vomiting among others (Herman, 2015). Moreover, the normalised blood glucose level, an effect of metformin, will reduce the retinal complications of diabetes thus alleviating ocular infections and their outcomes such as blindness (Kempen et al., 2014). Administration of antihypertensive drugs Administer antihypertensive drugs. With the increased blood pressure that Mrs. XXX presents with, visual difficulties and blurred visions, the blood pressure has to be normalised by the use of an antihypertensive drugs like telmisartan and amlodipine (Ley, Hamdy, Mohan, Hu, 2014). Telmisartan is an angiotensin II receptor antagonist. As such, it blocks the effects of the renin-angiotensin-aldosterone mechanism such as vasoconstriction and increased blood pressure. Ultimately, blood pressure shall be normalised thus preventing complications like a capillary rupture in the eyes and other vital tissues (Ley, Hamdy, Mohan, Hu, 2014). On the other hand, amlodipine is a calcium channel blocker that prevents the flow of calcium ions into the cells of the heart and blood vessels thus lowering their contraction that subsequently causes vasoconstriction. Blood pressure is very critical in the management of diabetes type two as almost all diabetic patients present with increased and elevated blood pressure (Ley, Hamdy, Mohan, Hu, 2014). This causes dizziness, confusion, reduced visual acuity and bloody vision. Active management of the blood pressure helps save the patient from injury, total loss of vision and kidney damages (Misra, Braatvedt, Patel, 2016). Teach the patient on exercising tips and good habits of daily living. For instance, regular and consistent body exercise can help prevent most complications. With a body mass index (BMI) of greater than 40, she should work tirelessly to reduce this to normal body mass index. In obesity; the body becomes resistant to insulin leading to glucose not being carried to cells and tissues for metabolism thus leading to persistently high blood sugar levels (Misra, Braatvedt, Patel, 2016). When the body weight is reduced to manageable levels, the tissues become receptive to insulin leading to glucose being transported to tissues and cells thus normalisation of blood sugar levels (Nayak, Maharaj, Fatt, 2012). Regular and vigorous exercises also result in the available glucose being metabolised to release energy and water as a by-product and in the long run reducing the blood sugar levels (Nayak, Maharaj, Fatt, 2012). Exercise should be aimed at least 150 minutes weekly. The exercise should b e vigorous and involve all parts of the body actively. In addition to exercising, nutrition is also a major component of the active management of type 2 diabetes. With proper nutrition, blood sugar levels will be reduced and maintained regularly and at normal levels. One is advised to take foods rich in high fibre to help loosen the stool and take the digested glucose away from being absorbed in the gastrointestinal tract into the colon thus reducing the amount of absorbed glucose hence reducing blood glucose levels (Nayak, Maharaj, Fatt, 2012). Foods rich in carbohydrates are discouraged, and only a small amount is encouraged as a lot of carbohydrates in the diet will lead to a lot of glucose being produced and absorbed after its digestion thus leading to high blood sugars and increasing weight as the excess sugars are converted to glycogen which accumulates in the body causing an increase in weight (Patrone, Eriksson, Lindholm, 2014). Reflection of the case management and personal assumptions: The case of Mrs XXX is critical because it tackles viral eye infections, hyperglycemia and high blood pressure. Viral eye infections are as a result of increased blood sugar in type II DM (Szeto et al., 2016). Type II DM is an endocrine, metabolic disorder that is characterised by extremely high blood glucose levels due to the inability of insulin to transport the glucose from the blood to the tissues since they are not receptive (Szeto et al., 2016). Intriguingly, in Type II Diabetes, the pancreas secretes sufficient amount of insulin, but the tissues are non-receptive leading to it not being effective in the transport of glucose into cells. Diabetes Type II is a lifestyle disorder that arises due to poor and bad eating habits, which cause an abnormally, increase in body weight (Szeto et al., 2016). Thus it can be managed through lifestyle change. Diabetes comes with retinal complications, which includes reduced visual acuity, blood vision, glaucoma, increased intraocular pressure a nd poor vision. It also causes a number of systemic complications such as high blood pressure, kidney failure, nerve failure, non-healing wounds, peripheral neuropathy and permanent disability (Takakura et al., 2014). I managed Mrs XXXs diabetes primarily with oral hypoglycemic agents like metformin and glipizide which help reduce the blood sugar levels by promoting uptake of glucose into the cells, preventing the absorption of more sugars and glucose in the gastrointestinal tract and preventing the production of glucose from non-sugar compounds (Takakura et al., 2014). I also managed the viral inflammation using topical acyclovir, and the inflammation lowered by prednisolone among other interventions. Again, I fostered diet adjustment, i.e. reducing carbohydrates in the diet, and increasing fibre in the diet, eliminating junks from the diet, taking more fruits and fluids. All these interventions, as I executed partly in Mrs XXXs case, are assumed to be fruitful (Thomas G Chu, 2015) . On a personal reflection, I tackled the case of Mrs XXX professionally considering the interventions that I initiated as far as nursing is concerned. I considered that the management of Mrs XXXs condition required both the conservative and the nursing interventions. As a result, all the interventions that I executed are presumed to be successful. Again, Mrs XXX was not refuting any of the interventions as prescribed in the rights of patients. She could be willingly ready to have them executed on her. Furthermore, the case of Mrs XXX has been a good example of infections of the eyes that arise from type II DM, hypertension and high blood pressure. Therefore, the management was supposed to be strictly linked to these priority concerns (Threatt, Williamson, Huynh, Davis, Hermayer, 2013). It was presumed that all the prescribed medications do not attract any form of hypersensitivity from Mrs XXXs system. Additionally, she could not also exhibit their side effects, a reason many of them are prescribed at the same time or in combination with one another. There are no infections that would arise from the interventions that I initiated on Mrs XXX. Her family would be readily available to help, especially her husband because he lives with her at the moment. Mrs XXX would need to see a nutritionist and a physiotherapist during her next visit (Yang, 2016). In conclusion, health is vital in the life of any individual, and thus, the management of complications that arise from chronic diseases such, as diabetes mellitus must be implemented. A typical case study of Mrs XXX is an eye opener on the difficulties that most patients endure when ocular complications, hypertension and high blood sugars affect them. References: Fogli, S., Mogavero, S., Egan, C., Del Re, M., Danesi, R. (2016). Pathophysiology and pharmacological targets of VEGF in diabetic macular oedema.Pharmacological Research,103, 149-157. Gummesson, A., Nyman, E., Knutsson, M., Karpefors, M. (2017). Effect of Weight Reduction on Hemoglobin A1c in weight loss trials of Type 2 Diabetes Patients.Diabetes, Obesity, And Metabolism. Heath, G., Airody, A., Gale, R. (2017). The Ocular Manifestations of Drugs Used to Treat Multiple Sclerosis.Drugs,77(3), 303-311. Herman, W. (2015). Response to Comment on Inzucchi et al. Management of Hyperglycemia in Type 2 Diabetes, 2015: A Patient-Centered Approach. Update to a Position Statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 2015;38:140149.Diabetes Care,38(9), e143-e143. Kempen, J., Sugar, E., Varma, R., Dunn, J., Heinemann, M., Jabs, D. et al. (2014). The risk of Cataract among Subjects with Acquired Immune Deficiency Syndrome Freeof Ocular Opportunistic Infections.Ophthalmology,121(12), 2317-2324. Ley, S., Hamdy, O., Mohan, V., Hu, F. (2014). Prevention and management of type 2 diabetes: dietary components and nutritional strategies.The Lancet,383(9933), 1999-2007. Misra, S., Braatvedt, G., Patel, D. (2016). The impact of diabetes mellitus on the ocular surface: a review.Clinical Experimental Ophthalmology,44(4), 278-288. Nayak, S., Maharaj, N., Fatt, L. (2012). Association between altered lipid profile, body mass index, low plasma adiponectin and varied blood pressure in Trinidadian type 2 diabetic and non-diabetic subjects.Indian Journal Of Medical Sciences,66(9), 214. Patrone, C., Eriksson, O., Lindholm, D. (2014). Diabetes drugs and neurological disorders: new views and therapeutic possibilities.The Lancet Diabetes Endocrinology,2(3), 256-262. Scheen, A. (2014). Pharmacodynamics, Efficacy, and Safety of SodiumGlucose Co-Transporter Type2 (SGLT2) Inhibitors for the Treatment of Type2 Diabetes Mellitus.Drugs,75(1), 33-59. Szeto, S., Chan, T., Wong, R., Ng, A., Li, E., Jhanji, V. (2016). Prevalence of Ocular Manifestations and Visual Outcomes in Patients With Herpes Zoster Ophthalmicus.Cornea, 1. Takakura, A., Tessler, H., Goldstein, D., Guex-Crosier, Y., Chan, C., Brown, D. et al. (2014). Viral Retinitis following Intraocular or Periocular Corticosteroid Administration: A Case Series and Comprehensive Review of the Literature.Ocular Immunology And Inflammation,22(3), 175-182. Thomas G Chu, M. (2015). Patients with Advanced Diabetic Retinopathys Understanding of Diabetes Mellitus and Their Diabetic Eye Disease: A survey of 100 patients currently undergoing treatment for Diabetic Retinopathy in a Large Retinal Practice.Journal Of Clinical Experimental Ophthalmology,06(01). Threatt, J., Williamson, J., Huynh, K., Davis, R., Hermayer, K. (2013). Ocular Disease, Knowledge and Technology Applications in Patients With Diabetes.The American Journal Of The Medical Sciences,345(4), 266-270. Yang, C. (2016). Diabetic eye diseases.Diabetes Research And Clinical Practice,120, S14.

Monday, December 2, 2019

Relevance of Race and Ethnicity Issues Asian Americans

The contemporary trends in immigration have significantly changed the population ratio of Asian Americans, as well as their attitude to this ethnicity group. Racial issues precisely concern Chinese, Indian, Japanese, and Filipino immigrants who had to undergo the pressure on the part of the white population in the United States.Advertising We will write a custom essay sample on Relevance of Race and Ethnicity Issues: Asian Americans specifically for you for only $16.05 $11/page Learn More The first waves of immigrants from Asian countries started in the sixteenth century, when Filipinos moved to the territory of the United States. Further movements date back to the nineteenth century, when Chinese and Japanese people migrated in the pursuit of better life. The history demonstrates that the immigration process was a challenge for ethnic groups due to the racist principles according to which all minorities were treated. The first Chinese communities arrive d in the United States had to apply for low-paid jobs because of the discriminative policy. Currently, the racist trends in perceiving ethnic communities have transformed in more favorable trends of full acceptance and equal participation of Asian American in societal activities. Despite the positive changes, some immigrants are less encouraged to assimilate in American society in case it would mean abandoning Asian cultural heritage and joining the mainstream. More importantly, the minority groups are reluctant to acknowledge the American values and norms because it never provides Asian immigrants with superior status in society. Asian Americans are often considered to be so-called forgotten minority, which creates the starting point for discussing many political, cultural, and economic obstacles for Asian Americans. Although this ethnic group is the fastest-growing population, its strength and political potential cannot be fulfilled. Such a perspective is explained by the permanen tly shaped stereotypes about the Asian community as a model minority, which creates challenges preventing the group from taking part in U.S. elections and political life. Asian Americans are also regarded as the emerging minorities because most of the representatives prefer maintaining strong bonds with their original culture to assimilating with the U.S. population for advancing their living standards. Nevertheless, the possibility of treating Asians equality with the white community is premised on the acceptance of the U.S. nation as the one that recognizes cultural diversity.Advertising Looking for essay on ethnicity studies? Let's see if we can help you! Get your first paper with 15% OFF Learn More There is also a counterargument rejecting the flexibility of the U.S citizens. In spite of the controversies, the Asian American movement has been delineated from the mainstream society, as well as from the traditional Asian community due to their excellent adaptability skills. Therefore, it is logical to assert that Asian American community possesses a completely different image that is distinguished from other minority groups due to their diligence, strong family values, and discipline. The emerged stereotypes testify to the positive influence of racial diversity. In conclusion, the U.S. history of Asian American movement introduces similar tendencies in perceiving and accepting the new ethnic groups arriving in the United States. In this respect, the nineteenth century was marked by unequal treatment of the newcomers due to the challenges they face while seeking for well-paid jobs. Stereotypic thinking prevented the dominant society from recognizing ethnic minorities and, as a result, racial discrimination resulted in cultural, political, and social barriers for the minority groups. In the course of time, the image of Asian American community has changed dramatically because it has separated both from the Asian people and from the U.S. populatio n. The new ethnic identity has been shaped, and its new image differs from other minority groups by discipline, strong values, and commitment to traditions. This essay on Relevance of Race and Ethnicity Issues: Asian Americans was written and submitted by user Violet D. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.