Cloning Essay -- essays research papers

Many have imagined what it would be like to have a clone of themselves. Many have also feared the thought of having a clone. Due to popular belief that a clone would be an exact duplicate. An incorrect presumption made by many. Proceeding along side is the religious beliefs and the controversial ethicality and morality aspects of human cloning. A stance taken by many religions and their congregations. In reality the public has a very narrow sense of what human cloning is. Rather than research and understand the scientific aspect of human cloning, they instead take faith in what the media and movies portray human cloning to be. It is from this information source that a majority base their decision on weather human cloning is ethical or unethical. Human cloning is a new challenge for science and that by pursuing it we will become enlightened in who and what the human being is and its true potential. The truth is that despite the many claims of religious leaders and anti-cloning protesters, human cloning may truly be the key to curing all disease and cancers that have plagued humans from the, dawn of human. The questions is," Do the benefits of human cloning out weigh the risks and ethicality of society?'   Ã‚  Ã‚  Ã‚  Ã‚  Lee M. Silver, a professor of molecular biology at Princeton University, wrote "Cloning Misperceptions," from Remaking Eden: Cloning and Beyond in a Brave New World. Silver asks, "Why do four out five Americans think that human cloning is morally wrong?" Silver answers by pointing out that people have a very muddled sense of what human cloning is. This accredited to the fact many people perceive what they see in the media and movies and associate it with reality. For example, the movie Multiplicity where a man has himself cloned and then his clone makes a clone of itself this happens two more times and each time a clone was made it became less intelligent. This brings up his next point which was depicted in the movie Blade Runner, many people believe a human clone would not have a soul, because it would be a replication of a living thing that is still in existence. Which is not true since a clone child is conceived and birthed like any normal child would, from a mother's womb. And just like any other child, the clone would have a mind and personality o... ...bility to reverse the effects of a heart attack by injecting healthy heart cells into the damaged areas. Condemnation of this new technology could be denying human beings the key to finding the a cure for all diseases and cancers. And the enlightenment of who and what we are.   Ã‚  Ã‚  Ã‚  Ã‚  The truth is that human clones are just has human as any one else and do not deserve to be treated like second rate citizens. Clones have souls too and are autonomous individuals with their conscience and personalities. Parents need to be given more credit in that they would not objectify their cloned children, but love them unconditionally. Cloning should not be condemned, due to fear for the unknown, but should be explored to benefit human kind and enlighten us on who and what we are. Human cloning is a new frontier that will have its own obstacles and walls to climb over, go around, or go under. Human cloning will be cherished and prized for what it has brought humanity, new medical technologies, along with cures for disease and cancer. Unfortunately it is inevitable, but a sacrifice will be made some where as with many past medical advancements. Cloning Essay -- essays research papers Many have imagined what it would be like to have a clone of themselves. Many have also feared the thought of having a clone. Due to popular belief that a clone would be an exact duplicate. An incorrect presumption made by many. Proceeding along side is the religious beliefs and the controversial ethicality and morality aspects of human cloning. A stance taken by many religions and their congregations. In reality the public has a very narrow sense of what human cloning is. Rather than research and understand the scientific aspect of human cloning, they instead take faith in what the media and movies portray human cloning to be. It is from this information source that a majority base their decision on weather human cloning is ethical or unethical. Human cloning is a new challenge for science and that by pursuing it we will become enlightened in who and what the human being is and its true potential. The truth is that despite the many claims of religious leaders and anti-cloning protesters, human cloning may truly be the key to curing all disease and cancers that have plagued humans from the, dawn of human. The questions is," Do the benefits of human cloning out weigh the risks and ethicality of society?'   Ã‚  Ã‚  Ã‚  Ã‚  Lee M. Silver, a professor of molecular biology at Princeton University, wrote "Cloning Misperceptions," from Remaking Eden: Cloning and Beyond in a Brave New World. Silver asks, "Why do four out five Americans think that human cloning is morally wrong?" Silver answers by pointing out that people have a very muddled sense of what human cloning is. This accredited to the fact many people perceive what they see in the media and movies and associate it with reality. For example, the movie Multiplicity where a man has himself cloned and then his clone makes a clone of itself this happens two more times and each time a clone was made it became less intelligent. This brings up his next point which was depicted in the movie Blade Runner, many people believe a human clone would not have a soul, because it would be a replication of a living thing that is still in existence. Which is not true since a clone child is conceived and birthed like any normal child would, from a mother's womb. And just like any other child, the clone would have a mind and personality o... ...bility to reverse the effects of a heart attack by injecting healthy heart cells into the damaged areas. Condemnation of this new technology could be denying human beings the key to finding the a cure for all diseases and cancers. And the enlightenment of who and what we are.   Ã‚  Ã‚  Ã‚  Ã‚  The truth is that human clones are just has human as any one else and do not deserve to be treated like second rate citizens. Clones have souls too and are autonomous individuals with their conscience and personalities. Parents need to be given more credit in that they would not objectify their cloned children, but love them unconditionally. Cloning should not be condemned, due to fear for the unknown, but should be explored to benefit human kind and enlighten us on who and what we are. Human cloning is a new frontier that will have its own obstacles and walls to climb over, go around, or go under. Human cloning will be cherished and prized for what it has brought humanity, new medical technologies, along with cures for disease and cancer. Unfortunately it is inevitable, but a sacrifice will be made some where as with many past medical advancements.

Media; Levi Jeans Campaign Essay example -- essays research papers

Why in your opinion, was the Levi Strauss 501 campaign so successful? The Levi Strauss 501 advertising campaign was so successful in 1984-1990 as it attracted the typical American teens selling independence, sexuality and physical good looks, representing the perfect figure and body. It illustrated a complete lifestyle to the teenagers world. Admiring the fantasy of idols James Dean and Marlon Brando, all connecting to the Levi guys (jeans) in the adverts, giving the impression of a sensual, healthy radiant aspect, to the gazed audience. Falling for the act, teens still continued to buy the different types of jeans, whilst new ideas were being designed. People realise now it was just a pretence illusion. Although these shams still occur in adverts today. In the advert ‘The Launderette’, it begins straight away with music, then a view of a Korean soldier standing outside, indicating the war had just ended. He’s put there as a parallel to the Levi guy, he’s not as laid back! At first the camera doesn’t focus on the Levi guy’s face, giving mystery and intrigue to the viewers. Entering into the steamy launderette, everyone turns and stares. Staring is the usual old, slob-like husband, one hand holds a cigar, whilst in the other sits a beefy, dripping hamburger! Noticing his entry, the Levi guy slyly removes his cool sunglasses, revealing his smiling face. With the dark, slick back hair, a dream to every girl. Dull lighting among the other customers symbolizing their shallow lives, whilst innocently he places his clothes into the machine . Unusually he puts stones into the machine along with his clothes, thinking nothing of the matter. Glaring at him is the average housewife with her children observing closely. Sliding his jeans off, there is a close up on his backside- revealing the one and only red Levi tab, showing they are nicely fitted, encouraging the opposite sex. Steam evaporates around him, sexuality diffuses in the area. Red, white and blue colours surround the launderette corresponding to the American flag- the jeans belong to America! All attention on him, he turns round in white boxer shorts, attracting people to buy them and causing his brown, toned body to glisten. Typical, normal girls, giggle together, as he sits down in the middle of the waiting seats. Above him a bright orange border encloses him. Expressing his delightful, healthy life. ... ... always zoomed in on. Typical American items are benefited. Like the leather and denim jackets are repeated. Golden, happy endings diffuse into the sunset. Skyscrapers tend to appear in the background. Steam is generated by the large amount of heat and passion in the ads. At the end of all advertisements, a slogan is concluded. For example ‘The Pick ups’ one is ‘separate the man from the boys’. Relating to the story. Also the Levi tab is expressed every time. It is the trademark of the jeans. The adverts were only shown in the U.K, they were not performed in the U.S.A. The U.K is continually blasted by Americas products and images. The T.V media continues to blitz our minds. In the adverts, people don’t analyse the visual images with a critical, impartial eye. So they will remain to carry on believing the false acts, and buying the products. Advertisements should not be held back though as then no industry would have a boost in making money from the publicity, so then no company could afford to make quality merchandise. The Levi campaign was so successful then but not as much now, to what it was. It managed to succeed in making jeans a fashion statement (which they still are).

Individual Learning Essay

Work-study Enterprise (WSE), founded in 1994 in Matteson, Illinois offers childcare and early childhood education. WSE believes in developing the whole child and strives to show God’s love to all entering its doors. WSE enrollment is open to kid’s age 2 through 15 and offers a safe and positive environment for all. In addition, the organization offers before and after school programs, to include summer camps. A for-profit organization, WSE seeks to keep enrollment high in order to make child care cost affordable for all in the Chicago land area (Mitchell & Mitchell, Work-study Enterprise, April 4, 2013). SWOT Analysis Balanced Scorecard According to Blocher (2010), the balanced scorecard (BSC) is an accounting report that includes the firm’s critical success factors in four areas: (1) financial performance, (2) customer satisfaction, (3) internal processes, and (4) learning and growth (p.11). The following is a balanced scorecard for Work-study Enterprise Inc. Critical Success Factor Objective Measure Target Initiative Financial performance Increase Income Annual growth of income from specific courses +5% by end of fiscal year 20141 Offer more specific topics of tutoring (algebra, statistics, etc.) Reduce overhead expenses Annual Expenses -10% by end of fiscal year 20142 Explore tax benefits, give philanthropic contributions, and apply for government subsidies Customer satisfaction Retain Current Enrollees Enrollee turnover -10% by end of fiscal year 20143 Improve communication between staff and parents Enroll New Clientele Clientele enrollment count 25 additional contracts by end of fiscal year 20144 Improve marketing campaigns and courses offered to attract new clients Internal Process Increase GPA Number of grading periods to raise letter grade in a particular subject < 6 weeks Implement strict policy and procedure for increasing letter grade/GPA Learning and Growth Improve Tutorial Service through training classes Number of tutors lacking new tutorial training Increase by 50% by end of 2014 Implement a tutorial training program, providing training opportunities each month Discussion of Critical Success Factors (CFSs) CFSs are defined as â€Å"the limited number of areas in which results, if they are satisfactory, will ensure competitive performance for the organization† (Ram & Corkindale, 2014, p.152). Work-study Enterprise (WSE) will be able to deliver quality tutorial services for affordable prices, when the costs and quality of its services are addressed. The implementation of critical success factors will allow WSE to process each success factor into a particular category. Work-study Enterprise, Inc., can accomplish this by focusing on financial and tutorial goals that are in sync  with one another. Work-study Enterprise can achieve this by changing the way in which the company hires tutors. Financial The first CSF is financial performance. Financial performance is important because it measures the profitability and market value which are good indicators of how well the firm satisfies its owners and shareholders (Blocher, 2010, p.11). If a company can increase profits while decreasing its overhead, it will be in a better position to maintain positive profits. Profitability is gained strictly on how well WSE choose each critical success factor. The bottom line is to satisfy the owners. This critical success factor is not mutually exclusive, and depends on the other CFSs to keep Work-study Enterprise Inc doors open for business. Customer Satisfaction The second CSF is customer satisfaction. Customer satisfaction is important because satisfied customers tend to be loyal and repeat buyers. Measures of quality, service, and low cost, are three good indicators of how well a company satisfies its customer (Blocher, 2010, p.11). The objective here is for WSE to retain current enrollees and enroll new clientele. Current enrollees are the ones that continue to pay the bills (operating expenses), and enrolling new clientele helps increase profits thus assisting the financial CSF. Work-study Enterprise is looking to add online learning because it will increase the efficiency and effectiveness of it program (Cheawjindakarn, Suwannatthachote, & Theeraroungchaisri, 2012, p.61). This can be accomplished by hiring online tutors. A case study found that in order for online-course resources to be used effectively, the CFSs that need to be considered are: human factors pertaining to the instructors; the instructors’ and students’ tec hnical competency; the instructors’ and students’ mindset (about learning); the level of collaboration intrinsic in the course; and the level of perceived IT infrastructure and technical support (Soong, Chan, Chua, & Loh, 2000, p.102). These same CFSs align with WSE success factors. The human factors pertaining to the instructors can be found under financial CSF. The instructors and students technical competency is important in the learning and growth CSF. The instructors and students mindset about learning can be found in the internal process of improving the letter grade or increasing a  student’s GPA in less than 6 weeks. The level of collaboration intrinsic in the course and the level of perceived IT infrastructure and technical support can be found in customer satisfaction critical success factor. Internal Process The third CSF is internal process. WSE internal process is important because it measures efficiency and effectiveness of its services (Blocher, 2010, p.11). Greater efficiency and effectiveness can result in satisfied clients and more business. Raising GPAs and/or letter grades in tutorial services are very important. If a student is failing in a subject or is having a hard time comprehending the way his or teacher instructs, parents generally seek tutorial services. If WSE are able to help students by raising their GPA or letter grade, clients will want to continue with their services. This is why the choice to raise a letter grade in less than 6 weeks is a critical success factor. Learning and Growth The fourth CSF is learning and growth. Learning and growth is important because it can help develop and utilize human resources and strategic goals (Blocher, 2010, p.11). By increasing the learning of the tutors, not only do the tutors become better and more efficient in their services, the parents/students become more satisfied. The addition of a tutorial training program will help with the growth of the tutors and the enterprise (Cherryl Mitchell, Work-study Enterprise, April 4, 2014). Tutoring has become an increasingly effective tool for academic support in the last 25 to 30 years (Holliday, 2012, p.21). This is why many universities and colleges offer tutorial services, however, outcomes may vary depending on the tutor to student interaction. Evaluation of Work-study Enterprise Inc. Financial Reducing the overhead expenses in order to increase higher revenues is the objective for any rationale organization, if not all. This is because every company would like to maximize its profits in the most efficient way while still providing an effective service to its clientele. Work-study’s goal is to increase its profits by 5 percent, and by offering more specific  topics of tutoring such as algebra, statistics, chemistry, etc, the tutorial service is on track. Offering a wider range of courses to tutor will target new customers and offer more services to existing clients thus bringing in more profits for the company. By exploring tax benefits, giving philanthropic contributions, and applying for government subsidies, the company can help reduce overhead. In addition, if the company increases its efficiency in the internal process CSF, a decrease of 10 percent of its overhead can be obtained by year end 2014. The financial CSF appears to be on target at Work-study Enterpr ise, Inc. It may be impossible to eliminate all overhead; however, taking advantage of the aforementioned can minimize some overhead expenses. Customer Satisfaction One objective under the customer satisfaction CFS is to retain current enrollees. A growing body of empirical work supports the fundamental logic that customer satisfaction should positively influence customer retention (Anderson, Fornell, & Mazvancheryl, 2004, p.173). Work-study Enterprise realizes that their customers are the key to their success thus stressing the importance of great communication. Furthermore, satisfied customers are able to make positive recommendations to others. Since its inception in 1995, communication between staff and parents is of the utmost importance to Work-study Enterprise. Through great communication WSE have been able to reiterate special incentives to existing customers, receive feedback about the services rather good or bad, and settle disputes in a prompt manner. Implementing good lines of communication between its staff and parents has allowed WSE to keep clients for as long as the program will permit the child’s age. In 2010, Work-study Enterprises signed a contract with District 162, which allowed WSE to offer its services to all the schools in its district. By securing a contract with District 162, WSE is on track for meeting the objective of adding 25 more contracts. Furthermore, as a result of signing with the district, WSE marketing campaign has opened opportunities for securing more districts. Internal Process Work-study Enterprises Inc. seeks to increase the letter grade or GPA of a student less than 6 weeks. This time starts on the first day a student  meets with a tutor and ends 6 weeks after. Though students receive report cards 4 times a year or every 9 weeks, WSE likes to guarantee 6 weeks to increase a child’s letter grade. If the grade is not increased, the tutors will have an additional 3 weeks to spend more time with the student (s). The implementation of strict policies and procedures for increasing letter grades/GPAs has allowed WSE clients to pass their courses, as well as retain satisfied customers. Learning and Growth In the past, clients of Work-study Enterprise have committed on the disparity in training of its tutors. The majority of the tutors at WSE are high-school and current college students. However, the disparity in training will be rectified by offering a tutorial training each month. The critical success factor seeks to increase to their goal of 50 percent by the end of 2014. The addition of this tutorial program each month has allowed tutors to provide a greater learning opportunity for the students. In addition, WSE is in the process of hiring a new trainer to focus specifically on training tutors. Overall Work-study Enterprise Inc. is on track of achieving each of its critical success factors by the end of 2014. As previously mentioned, critical success factors are interdependent. In other words, all critical success factors must work in tandem in order for Work-study Enterprise Inc. to achieve its strategic goals. The bible tells us â€Å"Faith without works is dead† (James 2 :26 KJV). Just because one prays does not mean that his business will be successful. Business owners must develop a strategy and work that strategy. Work-study Enterprise Inc have been working their strategy for nearly a decade and this is why their company is still going strong. Reference Anderson, E.W., Fornell, C. & Mazvancheryl, S.K. (2004). Customer satisfaction and shareholder value. Journal of Marketing, 68(4). p. 172-185 Retrieved from http://www.jstor.org/stable/30162024 Blocher, E. J., Stout, D. E., Juras, P.E., & Cokins, G. (2010). Cost Management: A Strategic Emphasis (6th ed.). Boston, MA: McGraw-Hill Irwin Publishing. Cheawjindakarn, B., Suwannatthachote, P., & Theeraroungchaisri, A. (2012). Critical success factors for online distance learning in higher education: A review of the literature. Creative Education, 3, p.61-66. Retrieved from http://search.proquest.com/docview/1353565510?accountid=12085 Holliday, T. (2012). Evaluating the effectiveness of tutoring: an easier way. The Learning Assistance Review17(2). p. 21-32. Retrieved from http://go.galegroup.com/ps/i.do?id=GALE%7CA308883380&v=2.1&u=vic_liberty&it=r&p=AONE&sw=w&asid=a5e72816293a40e9cba7076990429c51 Ram, J., & Corkindale, D. (2014). How â€Å"critical† are the critical success factors (CFSs)?: Examining the role of CFSs for ERP. Business Process Management Journal, 20(1). p.151-174. Retrieved from 10.1108/BPMJ-11-2012-0127 Soong, M.H., Chan, H.C., Chua, B.C., & Loh, K.F. (2001). Critical success factors for on-line course resources. Computer & Education, 36, p.101-120. Retrieved from http://www.nc12z.com/uploadfile/cms/books/269/ts269019.pdf

A strategy for lessening US dependence on foreign oil Essay

One of the important problems faced by the United States of America, which is causing serious threat to its economy, is its growing dependence on imported oil. This oil forms more than 97% of the fuels used in America. Majority of Americans believe that this dependence is to be reduced. This is mainly because it is affecting national security by wasting billions of dollars in Persian Gulf. It is causing pollution and contributing a lot to global warming. An important strategy to cut this oil dependence is to switch over to Plug-in Hybrid Electric vehicles (Sandalow 8). The technology is quite feasible and at present there are vehicles that run on electric power on the roads of America. Electricity is cheap and is available in surplus in America. So this surplus energy could be effectively utilized by producing vehicles that run on this power. The problems with electric vehicle are that the battery is too heavy and it has to be recharged more than once in a long run. But now there are hybrid vehicles that can automatically switch over to gasoline, when the electric charge is reduced. Lithium and nickel could be used in the manufacture of such engines, which will reduce its weight to a great extent. It requires $5000 to $6000 to convert a vehicle to electric one. Government can provide this amount as tax benefits or subsidy to the users and can encourage them to do so. The cost from the part of the government will be high initially, but when compared to the savings it is going to make by reduction in oil consumption, these initial costs are too less. Such vehicles travel 3 to 4 miles in one KwH. This means that it is same as getting gasoline for 75 cents per gallon. Above all such vehicle causes no pollution at all and will make America, a paradise on earth. It is believed that by 2025 one third of the vehicles in America will be hybrids, that is 45 billion gallons on oil can be replaced. Thus it could be seen that America’s dependence on oil could be reduced very easily by switching over to hybrid electric vehicles. In this way a considerable amount of money could be saved and at the same time the earth could be protected from global warming. Work cited Sandalow, David. â€Å"Ending Oil Dependence :Protecting National Security, the Environment and the Economy† http://abcnews. go. com/images/Politics/PB_Energy_Sandalow. pdf. 2008 (accessed on 29 November 2008)

Occupation decision Essay

My decision to enter medical school started after my grandfather suffered a heart attack at the age of 20. Although this incident hurt me very much because of the medical staff inability to save his life disappointed me. After the grieving process was complete I began to consider a career in the healthcare industry. My initial step toward entering a career in the healthcare industry was to shadow a cardiologist which I believed would provide me an opportunity for me to learn what a life as a healthcare provider would be like. Once I decided that I would like to pursue a career in medicine I enrolled in college and currently completing a bachelors of science in Biology. I found the healthcare profession to be exciting and realized that it afforded me the opportunity to help the sick and injured which I believe I will enjoy and have a talent for. My experience working for the cardiologist affords me the opportunity to learn basic healthcare skills such as obtaining vital signs. Record keeping is an important part of managing a practice and my experience of tracking records has afforded me the opportunity to demonstrate this important skill. My ultimate goal is to complete medical school, a residency and then pursue a fellowship in either cardiology or neurology. One of the goals I have is to help prevent people form suffering an untimely death such as my grandfather by seeking to provide optimal care to prevent the consequences of poor health. I believe that the desire to help people created by my grandfather’s untimely death will help me provide competent and compassionate care. These traits will be advantageous to MUA because of the positive public image perception it will create. My undergraduate instructors and the cardiologist that I have followed I hope to someday model that inspirational behavior. Although I do not have many academic credentials currently but my desire to help people who are sick and injured. I am finishing my last semester with a bachelor of science in biology. This background in biology has provided me with the basic scientific knowledge which has developed a strong foundation for me to build upon with the courses to follow. I am of reputable character which is an important character trait because of the high level of trust needed between a physician and provider. The office work and shadowing I completed prior to my enrollment in college has provided me a unfettered glimpse of the struggles and benefits of pursing a career in healthcare. I believe that because of the reasons I listed I would be an excellent candidate for admission to your program. .

Asthma in Children Essay

Table of Contents Introduction †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 3 Overview †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 4 What is Asthma †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 5 What are the signs and symptoms of asthma? .. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 5 What can make asthma symptoms worse? †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 6 What is the treatment for asthma? †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 8 Peak flow and its importance †¦Ã¢ € ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 9 Asthma Action Plan †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 9 Patient Information Leaflet †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 10 Summary †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 11 References †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 13Introduction â€Å"Asthma can affect anyone, any age, anywhere, but it is particularly common among children. Nowadays asthma affects one in five households in the United Kingdom, and i t is increasingly common. So how do you recognize the condition and minimize the impact on you, your child and your family? â€Å"(Barlow 2007). Often times parents of children with asthma are not given much information on what to do with their child after discharge from the Emergency department especially in patients who are newly diagnosed with asthma.This results in them bringing back their child even though the asthma attack is mild due to parents/carers knowledge about asthma or on home care is limited. Recent developments in the management of chronic illnesses such as asthma offer many possibilities for optimal control, but parents/main carers of children with asthma need to take on responsibilities for self-care. This paper reflects an informative approach on paediatric asthma. The aim is to give information about asthma, to give a brief definition, explain the symptoms of asthma, what the treatments are, what exacerbates the symptoms, and what to do if an asthma attack occu rs.The better the parent / carer and the child understand asthma and its treatment the better they will be able to manage and control it. It will also set out why a patient information leaflet should be introduced to help patients and carers to better manage symptoms at home and help reduce hospital attendances. Overview Whilst working in a busy north London Accident and Emergency ( A&E ) department It has been noted that when children attend with asthma they are discharged from the Department with no further information or support with regards to home care, especially the ones who are newly diagnosed.What happens often is that the parents are given the medications by the nurse without even explaining what to do next or what to watch out for with regards to their childs asthma because the nurse has limited time due to the fact that the department is often busy and there is no time to sit down and chat with the parents prior to discharge. After collaborating with the peadiatric secti on of the department a need has been identified for giving information to parents / carers about asthma in children to help reduce / prevent A&E attendances and help children be cared for at home by means of their parents and general practitioners(GP).Through writing an action plan I have identified what areas of information was needed to be covered in the information leaflet, these being: What is asthma? What are the signs and symptoms? What can make asthma symptoms worse? What is the treatment for asthma? What is a peakflow and its importance in managing the child’s asthma? What to do when an asthma attack occurs? An action plan after discharge from the department Useful contact numbers and website address’ What is asthma? At work I have encountered parents who have limited knowledge about asthma.It is a key issue for parents/ carers to know what asthma is In the leaflet, I have briefly mentioned the definition of asthma as derived by the World Heatlh Organization. T he World Health Organization defines asthma as a condition that affects the airways, it is due to the inflammation of the air passages in the lungs and affects the sensitivity of the nerve endings in the airways so they become easily irritated. in an attack, the lining of the passages swell causing the airways to narrow and reducing the flow of air in and out of the lungs. (World Health Organization 2006)The leaflet also contains what signs and symptoms to look out for prior to an asthma attack. Basing from my own experience growing up with my youngest brother who suffered from asthma, I can remember my parents panic as soon my brother developed cough with mild shortness of breath which often times becomes a trip to the nearest hospital. What are the signs and symptoms? The information leaflet includes what symptoms to look out for when an asthma attack occurs. Out of all the research and reading that I have done, I have come up with four common symptoms.The common symptoms of asthm a, they are cough and wheeze which are constant or intermittent in nature. The child may also become breathless, and develop a feeling of chest tightness. the severity of symptoms differ from child to child – from mild to severe. The leaflet serves as a guide in what to do when these symptoms occur. What can make asthma symptoms worse? A part of the information leaflet is about what makes the symptoms of asthma worse. What factors can cause the exacerbation of asthma or â€Å" trigger factors â€Å" .According to the American Lung Foundation, â€Å" the cause of asthma is not fully understood, but it is thought that it may be a combination of genetic and environmental factors, that asthma attacks are often triggered by certain conditions or stimuli. † ( American Lung Association 2007 ). The common triggers of asthma are exercise, infections, allergy, irritants, weather and emotions. â€Å"Exercise induced asthma (EIA) affects about 40-90% of children with asthma, an d occurs when a child's asthma is triggered by exercise or physical activities. Symptoms f coughing, wheezing, chest pain and difficulty breathing usually begin a few minutes after starting the activity and worsen over the next 5-10 minutes. Symptoms usually continue for about 20-30 minutes. â€Å" ( keepkidshealthy. com 2008 ) â€Å"Severe episodes of asthma are often triggered by respiratory tract infections including flu. Research shows that these infections are most frequently caused by virus more than bacteria. Bronchodilator medication, sufficient hydration and steroids (if indicated) are needed to control an asthma attack caused by viral infections.Allergies can trigger an asthma attack in children with asthma. † ( American Lung Association 2007 ). Allergies can trigger an asthma attack in children with asthma. â€Å"Histamine is released during an allergic reaction causing mucous to be excessively produced, the lining of the airway becomes swollen then muscle contra ction in the airway thus leading to an asthma attack. Allergens associated with asthma are common things like dust mites, feathers, moulds, pets, insects, pollens and ingested food such as egg, soy milk, etc.These causative agents can cause minimal reactions sometimes which are of no obvious consequence but daily exposure to the allergens can cause in gradual worsening of asthma. † (American Lung Association 2007 ). Irritants such as air pollution, cigarette smoke, fumes, chemicals and strong odours can irritate the respiratory system causing reactions such as cough, wheeze and mucous secretions. â€Å"Weather or climatic conditions can trigger an asthma attack; it basically affects outdoor inhalant allergens (pollens and moulds).On a windy day more allergens will be scattered in the air, while a heavy rainfall will wash the air clean of allergens but on the other hand, a light rain might wash out pollen, but actually increase mold concentration† (American Lung Associat ion 2007 ). â€Å"Emotional factors are not the cause of asthma, though emotional stress can infrequently trigger asthma† ( American Lung Association ). A child’s asthma might only be noticeable after crying, laughing or yelling in response to an emotional situation. These normal emotional responses involve deep breathing which in turn can trigger asthma.Emotional stress itself like anxiety, anger or frustration can also trigger asthma, but the asthmatic condition precedes the emotional stress. Emotions are associated with asthma for another reason, many children with asthma suffer from severe anxiety during an episode as a result of suffocation caused by the asthma attack. The anxiety and panic can then produce rapid breathing or hyperventilation, which worsens the asthma condition. The panic and anxiety should be controlled as much as possible; the parent should remain calm, encourage the child to relax and breathe easily and give appropriate medications. The aim is to control the asthma with the appropriate treatment, and when the asthma is well controlled the emotional stress level will be reduced† ( American Lung Association 2007 ). It is an important part of the care of asthma for the parents / carers to know what these factors are, knowing these triggers can help minimize an asthma attack, though some are unavoidable like weather or the fact that a child tends to be more active, the aim of management of the child’s asthma is to enable the child to live a normal life by teaching the parents / carers to recognize their own triggers as avoidance will prevent symptoms from occurring.A part of the information leaflet enumerates the most common triggers with given examples that can act as a stimulus to set off an asthma attack. What is the treatment for asthma? â€Å"There is no cure for asthma, although it can always be controlled† ( World Health Organization 2006 ). â€Å" For most children, asthma is a condition that can be controlled by inhaled medication at home. Continuity and stability of treatment is important. † (Barlow 2007 ) The devised information leaflet enumerates and briefly defines the medications for asthma.It is quite important for the parents / carers to know what the medications are, what are they for, when to use them, and how to use them properly. Hopefully, the literature will help parents / carers to understand asthma medications, for it is worth of consideration that asthma medications must be taken properly. This helps in the care of the child’s disease. Together with the Asthma Action Plan, an appropriate assessment of the child’s symptoms and administering the proper asthma medication at the right time helps in the control of the disease at home.The primary goal for the treatment of the child’s asthma is to achieve the greatest possible control over the disease by reducing exacerbations, and limiting symptoms in order to optimize the quality of lif e of the child. â€Å" the potential for limitation of normal living is immediately apparent, but the actuality is related to a patient’ ability and willingness, to adhere to, and the nature of, a health professional’s recommended regimen† Christie et. al ( 1993 ). Peak flow and its importancePeak flow has it’s place in the care and management of asthma. The information leaflet briefly defines what is peak flow and justify why it should be monitored. The literature emphasizes that in managing asthma in children, parents are encouraged to obtain their child’s peak flow rate for measuring the peak flow helps in monitoring their asthma. The correct technique in obtaining the peak flow should also be reiterated for a false reading can greatly affect the management.However, in children who are under five years it is unreliable due to the fact that their ability to use the peak flow meter properly is doubtful, therefore it should only be attempted in chi ldren who have formerly and regularly used the peak flow devise. A criteria in the Asthma Action Plan is to measure the child’s peak flow rate for it helps to determine the severity of the episode, it helps decide when to use the prescribed asthma medications, and decide when to seek emergency care. Asthma Action PlanIn managing the child’s asthma, it is important to know what symptoms to look out for, what medicines to take, how much and when to take them, all of this should be recorded in the Asthma Action Plan. Prior to discharge from the emergency department, the Asthma Action Plan together with the information leaflet is given to the parents/ carers to use at home to act as a guide in managing an attack of their child’s asthma. It contains the symptoms to look out for and what to do if they occur.It also acts as a tool for the parents and their doctors to monitor the child’s asthma, prior to discharge from the Emergency Department the doctor and the Peadiatric nurse should have completed and discussed the form to the parent. Patient Information leaflet In the current political climate of patient autonomy, patient information leaflets can aid patients, parents and carers to achieve this autonomy. Research has shown that patients may forget half of what they have been told within five minutes of a medical consultation and retain only twenty per cent of the information conveyed to them. â€Å"Providing patients and families ith written information may reduce anxiety, improve use of preventative or self care measures, increase adherence to therapy, prevent communication problems between health care providers and patients and lead to more appropriate and effective use of healthcare services† (Moult et al, 2004). The importance of written patient information has been recognized by the department of Health and the NHS. The NHS Plan states that patient information is an integral part of the patient journey. The Centre for Health Information Quality identifies three key attributes of quality health care information materials: a. he information should be clearly communicated; b. be evidence based; and c. involve patients in the development of the materials (Centre for Health Information Quality in Moult et al, 2004). Research has exposed problems with the readability and usability of a wide range of patient information leaflets (PILS) on diverse matters. The majority of PILs, regardless of their subject, require relatively high reading skills that may not exist in a large proportion of their target population (Zorn & Ratzan, 2000 in Gal & Prigat, 2005).In 2002, the Department of Health published the ‘Tool kit for providing patient information which provides detailed guidelines for writing and designing health care information. The toolkit includes guidelines in the form of ‘points to consider’ and checklists for presentation of various types of information. Readability is often mentioned a s a measure of the quality of written health care information an several scales have been deployed to evaluate the reading level of written information and several scales have been developed to evaluate the reading level of written information. Spadero, 1983). Moult et al. (2004), explains that the lower the reading level, the more likely that the information can be read and understood by a large proportion of the public. Summary The purpose of this essay is to discuss the need which has been identified and to implement change in the peadiatric area in the Emergency Department ( ED ) with regards to patient information about asthma in children. â€Å"The appropriate selection of medications is only one aspect for the provision of a comprehensive approach to all aspects of managing asthma.In particular, parents / carers need education, support and guidance, on how to manage their child’s condition† ( National Institute for Clinical Excellence 2007 ) I have accessed many online web sites and read articles to see what information was available to combine together to produce such information leaflet. The intention of the devised information leaflet is to give information to parents / carers about asthma in children to help reduce or hopefully prevent ED attendances and help children with asthma be cared for at home by means of their parents and GPs. Technological and pharmaceutical developments make feasible the more effective control of chronic conditions, but clinician’s perception of optimal management may result in patients carrying increased responsibilities for maintenance of their physical well – being that can compromise the quality of their daily life† ( Christie et. al. 1993 ), hopefully the information leaflet can facilitate and provide advice, as a part in the holistic approach in managing the child’s asthma at home when the child is discharged from the Emergency department.The information leaflet can also be ut ilized as useful tool to teach junior staff in the Emergency Department. A reading material for the newly qualified staff members to read and use to further enhance their nursing knowledge about asthma, that it can aid the nurse as guidance in their initial assessment and help in anticipating the needs of a child who presents in the Emergency Department with asthma.Hopefully in the future, the information leaflet can be used as a useful tool for health promotion which can be utilized by other members of the health care setting such as health visitors, school nurses, and others in the community settings. Reference: American Lung Association (2007): childhood Asthma Overview http://www. lungusa. org/site/pp. asp? c=dvLUK9O0E=22782. [accessed Dec 2007] Barlow(2007)http://www. childrenfirst. nhs. uk/families/features/illnesses/managing_childhood_asthma. html [accessed Jan 2008] Christie et. l (1993)Development of child – centered disease – specific Questionares for living with asthma , Psychosomatic medicine 55:541 – 548 Department of Health. ( 2002 ) Toolkit for Producing Patient Information. London: HMSO, 2002. London: Department of Health Gal, I & Ayelet Prigat (2005) Why organizations continue to create patient information leaflets with readability and usability problems: an exploratory study: Health Education Research Vol. 20 no. 4 pp485 – 493. Keep Kids Healthy (2007) :Exercise Induced Athma http://www. keepkidshealthy. com/asthma/exercise_induced_asthma. html [accessed Dec 2007]Moult, B. et al (2004) Ensuring Quality Information for Patients: development and preliminary validation of a new instrument to improve the quality of written care information: Health Expectation Vol 7 pp165 – 175. National Institute for Clinical Excellence:Inhaler devices for routine treatment of chronic asthma in older children, ;www. nice. org. uk [ accessed Dec 2007 ] Spadero, DC (1983) Assessing readability of patient information materials. Pae diatric Nursing, Vol 9 pp274 – 278. WorldHealthOrganization:Asthma in children; http://www. who. int/mediacentre/factsheets/fs307/en/index. htm. [accessed Jan 2008]

Essay Example | Topics and Well Written Essays - 250 words - 191

Essay Example Second, theological and national tensions that were not properly addressed fuelled the need to walk away from the bigger church to agitate for reformation (Viladesau, 2006). Similarly, the affirmation of a traditional medieval conception of interpreting most church activities meant that the Council of Constance was ignoring a lot of complaints from splinter groups. Another interesting reason was that the entire Roman Catholic Church papacy was Antichrist, thus, there was a need for committed believers to honour the prophecy by leaving the church. Alternatively, the Protestant Reformers under the leadership of Martin Luther condemned doctrinal policies that encouraged selling of indulgences such as particular judgment and purgatory in order to dominate the people. Respect for the ecclesiastical law, mandatory clerical celibacy, and censure of Antichrist Popes, therefore, became a critical aspect of splitting from the Catholic Church. Campaigns for Magisterial Reformation also played fundamental reason because most Protestant Reformers were now aligning themselves with humanity or lines of mysticism to affirm their radical positions against the papacy. Overall, the eventual excommunication was caused by discontent that was not given the necessary