An integrative review on, The Early Signs and Symptoms of Necrotizing Research Paper

An integrative review on, The Early Signs and Symptoms of Necrotizing Enterocolitis in the neonate - Research Paper Example Integrative review is considered as the most appropriate for the research undertaken because it can present a holistic and encompassing view of the disease. Discussion. Through the integrative review conducted, different issues related to the signs and symptoms of necrotizing enterocolitis came into focus. Parameters in the different articles such as the gestational age of the neonate, the feeding start, the onset of signs and symptoms of NEC, the interventions and the management method for the condition, and the outcome of the neonate were given attention. In addition, the strengths and limitations of each research process had also been identified. Early Signs and Symptoms of Necrotizing Enterocolitis in Neonate Introduction Necrotizing enterocolitis (NEC) is defined as a disease that can be acquired by preterm or sick neonates described to have mucosal or even deeper intestinal necrosis (Merck, 2007). The condition is considered as the most common cause of gastro intestinal medical or surgical emergency in neonates affecting approximately 10 percent of the infants with the weight of less than 1500 g. The vague etiology of the disease is related to the rate of mortality which is 50 percent mortality depending on the severity of the case (Springer and Rosenkrantz, 2011). Background of the Study Based on empirical evidences, NEC affects 2 to 5 percent of the total preterm infants. Majority of the cases occurs in less than 36 weeks of the gestational age. In addition, there are different risk factors that are related to the disease based on records such as history of hypoxia, asphyxia and the introduction of enteral feeding. Another condition which can increase the risk of NEC based on different studies is cyanotic heart disease (Puri and Hollwarth, 2009, p.435). In addition to the said risk factors, the presence of the 3 intestinal factors such as preceding ischemic insult, bacterial colonization, and intraluminal substrate can also contribute to the prevalence of NEC (Merck, 2007). For the purpose of the study, such risk factors and related parameters were considered as the focal points of the study undertaken. The said factors were considered as early indications of the possible onset of the disease. Other factors such as geographical origin, ethnicity or gender have no proven effects on the prevalence and occurrence of NEC (Puri and Hollwarth, 2009, p.435). Determining, presenting, and discussing the early onset of NEC is important for possible prevention of the fatal effects of the disease. The study was able to achieve its objectives based on chosen empirical and primary researches focused on the early signs and symptoms of necrotizing enterocolitis. The determination of the onset of the disease can be considered as the most important method to lessen mortality and to resolve the problem on the lack of effective treatment to NEC. Study Design and Data Sources The primary phase in the integrative review of the early signs and symptoms of NEC is the search for data sources which will be included in the study. Different databases such as CINAHL, EBSCOHost and PubMed were used to find five journal articles that explored NEC in different perspectives and with a focus on the diagnosis and clinical signs and symptoms of the disease. In the search for the data sources, there are factors considered for inclusion and exclusion of journal

Compare or Contrast two buildings Essay Example | Topics and Well Written Essays - 1000 words

Compare or Contrast two buildings - Essay Example B. Ariel Rios Federal Building’s sweeping facade. III. Subtle Artistic Design. A. U.S General Services Administration Building’s Indiana limestone facing. B. Ariel Rios Federal Building’s limestone clad. Outline Page Neo-Classical Architecture Thesis: U.S General Services Administration Building and Ariel Rios Federal Building showcase massive architecture, uncluttered appearance, and subtle artistic design comparing two samples of America’s Neo-Classical architecture. I. Massive Architecture defines U.S General Services Administration Building’s E-shaped configuration, and Ariel Rios Federal Building’s semicircular facade reflecting Neo-Classical architecture. A. U.S General Services Administration Building’s E-shaped configuration encompasses large courtyards promoting free airflow. B. Ariel Rios Federal Building’s Semi-circular facade entails monumental columns and dentils supporting the building. II. Uncluttered Appearance e laborates U.S General Services Administration Building’s organized flat and long facade and Ariel Rios Federal Building’s sweeping facade detailing the building’s commanding presence. A. ... A. U.S General Services Administration Building’s Indiana limestone facing covering the whole of the building’s exterior. B. Ariel Rios Federal Building’s limestone clad enables sculptures and carvings to be curved onto the exterior. Essay Neo-Classical Architecture Introduction Neo Classical architecture is an architectural style derived from classical Greece and Rome; though a common style in American Capitols, it derives from Andrea Palladio, an Italian architect. Neoclassical architecture focuses more on the walls than the sculptural volumes because it focuses more on having a commanding presence. Its planar features are usually autonomous and individually articulated features. Though some of these buildings are known to have domed roofs, not all of have this feature; some have flat and horizontal roofs. For example, U.S General Services Administration Building and Ariel Rios Federal Buildings showcase massive architecture, uncluttered appearance, and subtle artistic design comparing two samples of America’s Neo-Classical architecture. Massive Architecture defines U.S General Services Administration Building’s E-shaped configuration, and Ariel Rios Federal Building’s semicircular facade reflecting Neo-Classical architecture. For example, U.S General Services Administration Building’s E-shaped configuration encompasses large courtyards promoting free airflow. The E-shaped configuration allows for natural lighting because of the amount of glass covering the wall surface. The E-shaped configuration allows for cooling breezes in the offices because the open spaces allow for free flow of air in the courtyards. The natural lighting enters the building because the wall surface on the street

Compare and contrast competition in beer market with competition in Essay

Compare and contrast competition in beer market with competition in tablet devices - Essay Example Steverman from Bloomberg business (2010) reports that the dismal performance of beer market in the recent times could continue because with escalating cost of production, the competitive pricing is taking a heavy toll on the companies’ financial performance. While the import has significantly come down, the adverse impact on market of the premium brands like Coors, Sub-Miller, Anheuser-Busch etc is also significant. Trends show that in the present times, people increasingly prefer cheaper brands at home and institutional sales to hotels, bar etc have come down. Thus, the market conditions for beer have become very tough and beer companies must come up with highly differentiating products and innovative market strategy to meet the challenges of time. The tablet market, on the other and has been most enthusiastic with wide range of differentiating products within tablet digital products. The technological advancements have seen some amazing innovations in the field of communicat ion and data handling. The tablet digital products are the latest craze amongst the technology savvy huge customer base across the globe.

Research Proposal (Measure the relation between motivation and Essay

Research Proposal (Measure the relation between motivation and effective performance management) - Essay Example Performance management, in the same context, is a human relations approach to organisational goal-setting which distributes company strategy and identifies employee productivity factors leading to employee discipline or reward. There are, conceptually, five standard steps used in the performance management process that include communicating clear organisational goals, applying managerial practices that encourage employee performance, identifying actual performance levels, producing positive or negative outcomes to employee performance, and evaluating whether organisational goals can be met through the current level of employee productivity. It is proposed that a successful performance manager be aware of the circumstances that affect employee motivation from a psychological standpoint and apply a rather clinical methodology in distribution of productivity feedback for the employee targeted for increased motivation. Essentially, an organisation cannot meet its strategic goals without the assistance of employee talents, therefore, a performance managers role in satisfying employees needs directly impacts company outputs. How does a performance manager, then, handle the role of satisfying employee needs without sacrificing organisational objectives? This study of performance management versus impact on employee motivation will first examine the psychological aspect of human nature by observing Abraham Maslows recognised Hierarchy of Needs. According to Maslow, each individual possesses five main principles that affect intrapersonal satisfaction. He proposes physiological needs (basic elements of survival) as a first step toward fulfilment. Following forward in motivation is the need for safety and security, moving next to love and belonging, then creating a positive self-image, and finally reaching a level of self-actualisation in which the person develops complete satisfaction with overall existence. Maslow

Digital Philosophy - What is Posthumanism Essay

Digital Philosophy - What is Posthumanism - Essay Example From ancient period, human beings had the desire of acquiring new skills and abilities. The boundaries of our existence (social, mental, or geographical) have been extended. A way to overcome the obstacles and limitations of life and achieve happiness had always been the tendency of the human race. From the time of invention of fire until the use of computer, human beings have learnt the use of science and technology in every aspect of their lives. Thus, the capability of a human being can be regarded as unlimited. From the days of human beings using technologies for betterment of their work process, we are now approaching towards the period when artificial intelligence might exceed human level. The rapid pace in which the technologies are changing in recent period will have huge impact on humanity in the recent future if the innovative trend persists. There have been shifts towards the digital technology in the recent decade. A new philosophical movement gained attention in the rece nt decade. With the development of the new technologies and the transformation of the world by its potentiality, the emergence of thoughts of posthumanists or transhumanists emerged. The scientists have found technologies that perform human works better than they do. There are two options left; one is to let the machines take every decision without the oversight of human beings and the other one is to let the human beings retain their control over them. The result of both might be complex and harmful for the society. If the machines are allowed to take decisions then human being will have to live in their mercy, and if that is not permitted then they will be so dependable on them (machines) in every aspects of their life that turning the machines off will be almost equivalent to suicide. The intellectual and the philosophical background of the digital technologies, digital media, and the digital culture of the contemporary period with their impact on the human civilization is the ma in aim of this paper. (Bostrom, 2005, pp 1-8: Joy, 2000) Post humanism The post humanists’ (or transhumanists) declaration was crafted by an international group of authors in the year 1998. It mainly involves dealing with the limitations of human form by radical use of technologies and other possible means. The human longing to advance is the core of post humanism. The rapid development of new technology and their potentiality in transforming the human world is what inspired the thought of post humanism. The terms ‘post humanism’ and ‘transhumanism’ are often treated as identical. Both the words describe the broad role played by technology in human life. Technology is expected to bring a new evolution of the human society beyond the definition of ‘human’ in traditional terms. However, the two terms are distinguished sometimes with transhumanism representing the movement that influences the new evolution of human beings to reach the phase of post humanism. The core of transhumanists’ hopes consists of a range of technologies, which involve advanced computing powers, and technology of cyborg in the short term. Nevertheless, for the long-term phenomenon they mainly focus on technologies that have cumulative impact of artificial technology, the use of nanotechnology and the technology of genetic engineering. The genetics, nanotechnology, and robotics revolution (GNR) will propel human beings into the realm of a new world. According to Kurzwell, humanity at present can only dream about the experience and the possibilities that are waiting for them in the changed new world of technology. It can be applied to physical strength, happiness, intelligence, and speed and any other aspects of human existence. The most important feature of post humanism is techno transcendence, which indicates the use of technology to overcome the obstacles (Ust,

In Spanish - Personajes Essay Example for Free

In Spanish Personajes Essay STELLA KOWALSKI La hermana menor de Blanche, aproximadamente veinticinco ai os y de una disposicii n que visiblemente la pone aparte de sus vecinos mi s vulgares. Stella posee la misma herencia aristocri tica que Blanche, pero se fue de Mississippi de Nueva Orleans. Alli , Stella se casi con la clase inferior Stanley, con quien ella comparte una relacii n sexual. La unii n de Stella con Stanley es animal, espiritual y violenta. Despui s de la llegada de Blanche, Stella se divide entre su hermana y su marido. Eventualmente, ella apoya a Stanley, quizi s en parte porque ella va a tener un niio de el. Mientras ella ama y compadece a Blanche, ella no puede creer las acusaciones de Stanley hacia Blanche. La negacii n al final de la obra muestra que tiene mi s en comi n con su hermana de lo que ella pensaba. HAROLD MITCH MITCHELL El compinche de Stanley, el colega, y el compinche de pi ker, que hace la corte a Blanche hasta que i l averigua que ella le miente sobre su pasado. Mitch, como Stanley, tiene alrededor de treinta ai os. Aunque i l sea torpe, sudoroso, y tenga intereses no refinados, Mitch es mi s sensible y mi s caballeroso que Stanley y sus otros amigos, quizi s porque i l vive con su madre, que se esta muriendo. Mitch no encaja en el hi roe caballeresco, en los suei os del hombre ideal de Blanche que vendri para rescatarla. Sin embargo, cuando el doctor se lleva Blanche contra su voluntad, Mitch es la i nica persona ademi s de Stella que se desesperan por la tragedia. Quizi s porque i l vive con su madre que muere, Mitch es perceptiblemente mi s sensible que otros amigos de pi ker de Stanley. Los demi s se meten con i l Mitch destaca sobre el comportamiento de los demi s. Mitch aparece ser un ser humano amable, bi sicamente decente de quiin, aprendemos en la Escena Seis, espera casarse y tener una mujer para poder presenti rsela a su madre. Mitch carece de la perspectiva romi ntica de Blanche y de la espiritualidad, asi como su entendimiento de poesi a y literatura. Ella juega con su carencia de inteligencia por ejemplo, cuando ella le habla en franci s porque ella sabe que i l no lo entenderi. Aunque ellos vengan de mundos completamente diferentes, Mitch y Blanche se unen por una necesidad comi n de compai erismo y apoyo, y ellos por lo tanto creen directamente el uno en el otro. Ellos tambii n descubren que han experimentado la muerte de un amado. La trampa en su relacii n sexual. Blanche repetidamente rechaza los afectos fi sicos de Mitch, rechazando dormir con i l. Una vez que i l descubre la verdad sobre el pasado sexual de Blanche, Mitch esti tan enfadado que la castiga. La diferencia de comportamiento de Stanley y Mitch es primordial, Mitch es caballeroso. Aunque i l desea y quiere dormir con Blanche, Mitch no la viola y se marcha cuando ella grita. Tambii n, las li grimas de Mitch delatan que se preocupa por ella. De hecho, Mitch es la i nica persona junto con Stella que parecen entender la tragedia de la locura de Blanche. EUNICE La amiga de Stella, vive n el piso de arriba, es linda, y es la casera. Eunice y su marido, Steve, representan la clase baja. Como Stella, Eunice acepta los afectos de su marido a pesar de su abuso fi sico hacia ella. Al final de la obra, cuando Stella cuestiona a posteriori su decisii n de quedarse con Stanley, Eunice prohi be que Stella haga preguntas sobre su decisii n y le dice que ella no tiene otra opcii n, si lo creer a Blanche. ALLAN GREY- El joven con aspiraciones poi ticas de quien Blanche se enamori y se casi. Una tarde, ella descubrii a Allan en la cama con un viejo amigo. Esa tarde, despuis de que ella anunciase su repugnancia de su homosexualidad, i l corrii fuera y se pegi un tiro en la cabeza. La muerte de Allan, marci el final de la inocencia sexual de Blanche, Ji VEN MENSAJERO- un adolescente que viene a la puerta de los Kowalskis cuando Blanche esta en casa sola. El muchacho se marcha desconcertado despui s de que Blanche le diera un beso apasionado de despedida. i l manifiesta la obsesii n de Blanche con la juventud y por lo visto le recuerda a su amor adolescente, el poeta joven Allan Grey, con el que ella se casi y perdii al suicidarse. El flirteo de Blanche con el joven manifiesta su preocupaciin sexual malsana por muchachos adolescentes. SHEP HUNTLEIGH un antiguo pretendiente de Blanche con el cual ella se encontri un ai o antes de su llegada a Nueva Orleans pasando las vacaciones en Miami. A pesar del hecho de que Shep esti casado, Blanche espera que i l le proporcione apoyo financiero y asi poder convencer a Stella para que escape de Stanley. Como la estabilidad mental de Blanche deteriora, su fantasi a de que Shep la salvara tambii n se desvanece. Shep nunca apareceri. STEVE el compinche de pi ker de Staley que vive arriba con su esposa, Eunice. Como Stanley, Steve es bruto, apasionado, fisicamente encaja como macho y marido abusivo. PABLO el compinche de pi ker de Stanley. Como Stanley y Steve, Steve es fi sicamente apto y bruto. Pablo es hispano, y su amistad con Steve, Stanley, y Mitch acenti a la naturaleza culturalmente de diversidad de la vecindad. Una Mujer Negra En la escena la mujer Negra se sienta sobre los pasos que se dirigen a Eunice cuando Blanche llega, y ella encuentra los gestos abiertamente sexuales de Stanley hacia Stella alegre. Mi s tarde, en la Escena Diez, nosotros la vemos apresurarse a travi s de la etapa por la noche como ella saquea el bolso perdido de una prostituta. EL DOCTOR En el final de la obra, el doctor llega para llevar a Blanche a una institucii n. i l y la enfermera parecen ser despiadados institucionales, pero, al final, el doctor aparece mi s amable. Esta imagen del doctor, iri nicamente conformara a las nociones de Blanche del caballero caballeresco del Sur que ofreceri su salvacii n. Una mujer mexicana vendedora de flores una vendedora de decoraciones mexicanas de entierro que Blanche la llama lastimera el pi rrafo de Flores los muertos, el que significa (piensa) Flores para los muertos. para muertos LA ENFERMERA Tambii n llamada la Matrona, ella acompaia al doctor para recoger a Blanche y traerle a una institucii n. Ella posee una manera severa, infemenina y tiene un talento para someter a pacientes histi ricos. SHAW un amigo, fuente para las historias del pasado de la mala reputacii n de Blanche en Laurel, Mississippi. Shaw viaja con regularidad por Laurel. LA PROSTITUTA los Momentos antes de que Stanley viole a Blanche, la pared trasera del apartamento de los Kowalskis se hace transparente, y Blanche ve a una prostituta en la calle siendo perseguida por un borracho masculino. La situacii n de la prostituta evoca el propio apuro de Blanche.

Changing Care Needs through the Life Stages

Changing Care Needs through the Life Stages Shane Quigley Introduction In this essay, I will be discussing the changing care needs through the life stage of my case study Margret whose name has been changed to protect the confidentiality of the person. I will be taking you through the development of late adulthood, the development of Margret, factors affecting Margret and my recommendations on helping Margret’s personal needs. The information provided will be mostly personal life experience from my module book and some internet pages. Development during Late Adulthood Aging affects people differently from person to person, but generally in late adulthood people experience both gains and losses. People lose their instant energy a younger person may have, but the ability to conserve energy is gained for future activities when needed. Age also brings a better sense of patience, experience, wisdom and understanding one may not have had before as a person has seen and experienced changes in their life before, this wisdom improves the quality of life regardless of the physical changes that may occur. Physical changes in the body in late adulthood are inevitable no matter how healthy a life you live but maintaining a healthy balanced lifestyle coupled with daily exercise can help you live a better quality of life and may keep the body and mind fresh into late adulthood too. Primary aging in late adulthood has an effect on appearance, sensation and motor abilities. A person in late adulthood may have more wrinkles as less collagen is produced in skin, skin becomes less elastic it also becomes thinner. Warts and skin tags and liver spots may form around the body as well as noticeable blood vessels. The hair may thin and turn grey as melanin is not produced as frequently in the body as before and height is decreased as bone density decreases. Intellectually in late adulthood the senses begin to decrease or dull in this stage of life the lenses of the eye discolour and are rigid, making the perception of colour harder to interpret, reading may also become difficult without the proper corrective glasses. Hearing also decreases in this stage , especially being able to hear high-pitched sounds, as a result of this paranoia may develop and could develop a level of unfound distrustfulness in response to not being able to hear well, as they could not interpret if the person was talking about them or not, this can be corrected with proper diagnosed hearing aids which are widely available. Also cognitive changes in late adulthood are not rare, memory fades as we age, however some people defy the general trends and can maintain their mental sharpness into their late stage of life through keeping their mind active and alert as much as possible. The theorist Jean-Piaget believed this is the formal-operative thinking stage in late adulthood, hypothetical problem solving skills decline, but decision making is faster and more logical and focused. Research has shown that keeping the body physically fit can attribute to staving off mental illnesses and other cognitive diseases such as Alzheimer’s and dementia. Eriksson’s theory of Identity vs. Despair best described the social and emotional development of late adulthood. As the theory involves coming to terms with the decisions you made in life. Those who view they have achieved a sense of integrity view their life in a larger context and are more at ease with themselves and accept their life course. People in late adulthood have experienced a lifetime of knowledge, which can make them feel more secure with themselves which they may not have had when they were younger. Adjusting to retirement is vital and a big step in this stage, adjusting can be easy and have no adverse affects on their life. On the other hand some people may find it hard adjusting depending on their emotional state, income and social network. Friends and family play a significant role in late adulthood in maintaining good life satisfaction by providing companionship and doing social activities. Staying in contact with people promotes successful aging and people d o better if they continue to engage with life and maintain close friendships and relationships. Margret Development and Personal Prejudices, Fears and Anxieties Physically Margret has no major illnesses thankfully for her age, she just has the characteristics of primary aging such as wrinkles and sagging skin but her hearing and sight is quite sound for her age. She does not need the use of hearing aids and only uses reading glasses to read, mobility is fine as she does not need the use of a walking stick or wheelchair and frequently walks every day up the town and to the library. Intellectually Margret keeps her mind active and has no mental-illnesses or diseases, she does this through her hobbies such as reading, playing Sudoku and other mind puzzles and crosswords in her favourite newspaper The DailyMail. Also her frequent trips to the library to read up on fiction and the World Wars during the week helps keep her mind active and fresh, as-well as walking which has been proven to keep the mind mentally stable. She also attends the local bingo with friends, bingo keeps the mind fresh as you constantly have to be aware your numbers are being called and have to keep the brain focused as you pay attention. Emotionally and Socially Margret has a close knit of friends she keeps in touch with regularly from childhood and the group she goes to bingo with. Family is very important to Margret. She has just one daughter and two grandchildren which she sees twice a week. This means the world to Margret especially after losing her spouse two years ago to cancer. Margret says she is blessed with her daughter and grandchildren and is grateful of the group of friends she has to make her happy especially when her husband died. She also attends mass every Sunday in her local church. Spirituality is very important for change in late adulthood and religion plays a big role in Margret’s life and accompanied with church, she also goes to Lourdes once a year. These social activities help keep Margret in touch with other likeminded people and promote a healthy social lifestyle. My own personal prejudices, fears and anxieties regarding late adulthood would probably be the youth of today as I think they do not have the same respect as the past generation had. I would be fearful when I grow older into this stage travelling on public transport as I think the youths on public transport can be quite loud, intimidating and sometimes aggressive, and can be quite the stressful and terrifying experience especially at night time. When you reach a certain age, you are forced to use public transport as your license is taken away from you. You lose that freedom you once had, that sense of independence is gone and in my opinion you feel like you are being treated like a child not a valued member of society. Fear and anxieties would that be finically, the economy the way it is at the moment may reduce or take away the pension. I also fear I wouldn’t be able to afford the necessities I need to live, that I would a burden to my loved ones if I got ill. Also a big fear /anxiety is that I could develop a cognitive illness such as Alzheimer’s disease or dementia, that if this happened who would look after me, that I would be too much of a burden on family and might end up in a nursing home. Another fear is that may not be able to leave enough money for my children and the cost of the funeral would be left for them to fund. Variations/Factors affecting Individual at this stage of life Mobility in later life can be a concern as primary aging causes a decrease in bone density and organs in general but with Margret’s frequent walking into town and the library every day, she is delaying this decline of the bones as much as possible. Another factor is you memory fading and potentially getting a cognitive illness in this stage of life. Finically at this moment in time since she is on a widowers pension and is surviving comfortably at the moment. Socially and emotionally she is afraid of the well-being of her friends at this moment as some of them have fallen ill as she is close to them and relies in them for support after her husband’s passing. Recommendations to respond confidently to the needs of the person Conclusion I would recommend in conclusion that Margret should go to the doctors at least once a month to make sure she is fit and healthy, also to get her eyes checked in the opticians to see if she needs other glasses to see with. And to get her ears checked to see if hearing aids are needed. I would recommend more regularly exercise on top of her walking like joining her local gym. In some places the over sixty-fives can join for free and most places do a discounted offer for O.A.P’s, there is also a social benefit to going to the gym too as you are out of the house, meeting similar aged people too and aids cardiovascular and respiratory functions, slows the loss of muscle and helps with the decline of bone density and promotes sound sleep and fights depression. I would make sure she has a healthy diet which includes a balanced diet, less sugar and plenty of water as-well as multi-vitamins supplements with plenty of fresh fruit and fresh food to provide optimal organ function. Also to avoid smoking which she has not done throughout her life anyway. Also to cut out excessive alcohol consumption, Margret may have two glasses of wine a day. I would recommend cutting back to one to reduce risk of liver damage. I would recommend trying to reduce as much stress in her life and keeping up as much social activities as possible to promote healthy well-being mentally and physically to aid cognitive functioning and prevent depression. I would also recommend trying new skills and try new activities to aid mental activity and promote healthy mental functioning. Bibliography Web Pages 1 5M4339 Shane Quigley