Thursday, January 30, 2020

Socialization Essay Example for Free

Socialization Essay Socialization can be defined from a dictionary as â€Å" a continuing process whereby an individual person acquires a personal identity and learns the norms, values, behavior and social skills appropriate to his or her social position†. Socialization is a continuous life process, but is in general divided into two very distinct groups: primary socialization and secondary socialization. But has socialization changed over the years? If so, what has been the driving force behind this change? Could it be because of the difference in the primary socialization in the home? Or perhaps the multicultural society in which we now live? Socialization occurs throughout life but is most effective in infancy and early childhood. Primary socialization occurs in the home between the parent and child. It is a process by which a child learns the cultural norms from their parents. Primary social groups are small intimate groups which include family, close friends, work colleagues and neighbors. It is from everyday group living with the family that a child gets his or her first introduction to acceptable norms of behavior, values, and morals. Ely Chinoy, in a 1960s standard textbook on sociology, says that socialization serves two major functions: On the one hand, it prepares the individual for the roles he is to play, providing him with the necessary repertoire of habits, beliefs, and values, the appropriate patterns of emotional response and the modes of perception, the requisite skills and knowledge. On the other hand, by communicating the contents of culture from one generation to the other, it provides for its persistence and continuity. —Chinoy, 1961: 75 The parent or guardian also passes on their views on language, customs, and religion in a comfortable informal way. The family acts as an agent of social control by teaching its members right from wrong and punishing it’s members for wrongdoing. One extremely interesting point of note about socialization is the prominence that is sited on mothers and the role that mothers play in the socialization process. We are told that it is mothers who are primarily involved in the earlier unconscious stage of socialization. However has this intimate relationship changed over the years? Undoubtedly the task of primary socialization has undergone immense change in the last thirty years. The rise of the â€Å"Celtic tiger† has meant the role of primary socialization has become harder to enforce. The increase in the numbers of women returning to the work force has influenced the way that socialization had previously been structured in the home. More and more children are being cared for by child minders or in creches. Thus this means that the role of primary socialization has become an area which involves a much wider circle of people. From the beginning of the past decade, the majority of children in this state where being cared for by their mother in the home. Today life and families are not so straight-laced. Families are a complex unit that incorporates ideas that never occurred in past generations. The ideals of a family consisting of a father: breadwinner and head of household, and a mother who was involved in mainly household tasks and the rearing of the children, where soon forgotten. Instead these where to be replaced with the new concepts of blended families, one or lone parent families, foster families and adopted families. Another major change in the life of the family that would influence primary socialization is the average number of children in the family. The decrease in the number of children in the average family home has changed the environment of the home dramatically. Parents now have fewer children than past generations. This in turn leads to parents having much more time to instill values, morals, religion and other customs in their children. The rise in children attending these playschools means that a child is exposed to secondary socialization at an earlier age. Secondary socialization is another example of how our socialization patterns have changed over time. Secondary socialization occurs in groups that are usually larger and more impersonal than primary groups. Members usually see each other on an infrequent basis, and these groups are not considered to be permanent. Examples are trade union memberships, religious and ethnic groups, pressure groups, voluntary organizations and the schooling system. This form of socialization is commonly introduced when a child starts school. It is a child’s first experience of formal teaching and reinforces his or her past knowledge from primary socialization. This type of socialization has shown great distinction from previous eras. The multicultural and ethnic times we live in have changed the way this eneration socializes. The school system has had a major role to play in this. According to Christine E. Sleeted, â€Å"during the 1960s, textbooks clearly featured experiences and viewpoints of white middle class and elite people, mainly men. Over the past twenty-five years textbooks have gone through phases of active revision†. (Christine E. Sleeter 1996: 91). The world in which this generation grows is wholly different to the more guarded and constrained world of the past. The integration of different cultures and ethnicities into Irish society has made a series of changes to the way we now socialize. Children are integrated into a society that incorporates the views of different races, religions and customs. For this reason the education system has undergone immense change and as Christine E. Sleeted insists, â€Å"almost any textbook published over the last ten years appears t be well integrated. Many teachers work to make their curricula multicultural†. The implications of this multicultural curriculum are the increase in the level of understanding and acceptance in society as a whole. (Christine E. Sleeter 1996:91). Similarly Antonia Darder claims that in liberal educational American schools they â€Å"strongly incorporate the central pedagogical themes of appropriation, subjectivity, and interionality, along with a strong humanistic emphasis on the uniqueness of the individual†. (Antonia Darder 1991:8). This vital socialization enables society to combat issues such as classism, racism and sexism. The change in the socialization process is incontrovertible. In both of the distinct areas of socialization; primary socialization and secondary socialization change has certainty occurred and is evident in the socialization patterns of the past decade. The substantial transformation of the family has impacted on the aspect of primary socialization. While it is evident from research that the secondary socialization process is adjusting and amending its teaching methods to incorporate a new multicultural generation. The combination of the two reformed socialization processes has undoutedly changed the way this generation sees society. Due to the new teachings of acceptance and equality, life has changed for people in Ireland to a life that incorporates and supports a diverse society.

Wednesday, January 22, 2020

Willa Cathers Paul‟s Case: A Study in Temperament Essay examples -- P

Willa Cather‟s â€Å"Paul‟s Case: A Study in Temperament† (1905) invites the reader to wonder, â€Å"What really is Paul‟s case?† Cather provides us with ample clues and descriptions of Paul‟s temperament with remarkable detail and insight into the human psyche considering that she had no formal background in psychology and that she was writing when Sigmund Freud was just beginning to publish his theories and was therefore writing by intuitive observation rather than by using a scientific approach. Because â€Å"Paul‟s Case† is written much like a descriptive analysis or case study in a patient‟s temperament, the reader is left with several details about Paul that are mysterious and psychiatrically and medically unexplained. The lack of a diagnosis for Paul has led many critics to develop their own diagnosis – some say Paul is a stereotypical homosexual, has Asperger‟s Syndrome or Autism, or that he has a combinati on of depression and anxiety. In my opinion, however, the most likely diagnosis for Paul is that he suffers from Narcissistic Personality Disorder. According to the DSM-IV, people with Narcissistic Personality Disorder are â€Å"preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love† (Criterion 2) and believe that they are â€Å"„special‟ and unique and can only be understood by, or should be associated with, other special or high-status people† (Criterion 3). Paul‟s clothing gives us our first clue to his narcissistic attitudes about himself; in Cather‟s description of Paul‟s dress, it is apparent that Paul is attempting to rise above his lower-class status by mimicking the upper class‟ appearance. The collar of Paul‟s overcoat is velvet, and â€Å"there was something of the dandy about him, and he wore an... ...her was writing about a social disorder that had not yet been identified or studied. Despite the lack of knowledge about Narcissistic Personality Disorder when Cather wrote this short story, she provides readers with plenty of details to diagnose the boy themselves. Narcissism is the only diagnosis that can explain all of Paul‟s attitudes and behaviors, and that is why it is the disorder that he must be suffering from. Works Cited Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Arlington, VA.: American Psychiatric Association, 2007. Print. Larry Rubin. "The Homosexual Motif in Willa Cather's "Paul's Case"" Studies in Short Fiction (1975): 127-31. Print. Perkins, Barbara, Robyn Warhol-Down, and George B. Perkins. "Paul's Case: A Study in Temperament." Women's Work: an Anthology of American Literature. New York: McGrawHill, 1994. Print.

Tuesday, January 14, 2020

Advanced Paramedical Science

Nausea and vomiting is a commonly encountered problem in the emergency department as it accompanies a multitude of conditions ranging from seemingly benign conditions such as migraine and gastroenteritis to potentially lethal conditions such pancreatitis and the acute abdomen.Studies from the U.S have shown that each year, almost 8 million individuals present to the emergency department with complain of nausea and vomiting, either as a principal complain or as a part of another disease etiology (Braude, Soliz, Crandall, Hendey, Andrews, & Weichenthal, 2006, p. 77).Nausea and vomiting are not distinct disease entities. Rather, they are symptoms which can be present in a wide range of disease conditions and are considered to be the ‘end-points’ of several pathological processes (Klosterhalfen and Enck cited in Kowalski, Rapps, & Enck, 2006 p.28). The term nausea refers to the subjective feeling or the urge to regurgitate gastric contents (Kuver, Sheffield, & McDonald, n.d. ).From a physiological point of view, this is associated with reduced gastric motility and increased smooth muscle tone of the small intestine. Moreover, there might also be the presence of reverse peristalsis in the small intestine, which can cause the feeling of imminent regurgitation (Bowen, n.d.).On the other hand, vomiting refers to ‘the forceful discharge of gastric contents’ (Kuver, Sheffield, & McDonald, n.d.) which is meant to serve the purpose of protecting the gastrointestinal tract from potentially harmful substances by preventing their entry and transit through the gastrointestinal tract (Kuver, Sheffield, & McDonald, n.d.).Vomiting, if persistent can have several potentially hazardous consequences such as dehydration, electrolyte imbalances, metabolic derangements, manifesting as alkalosis and even bleeding and esophageal perforation (Kuver, Sheffield, & McDonald, n.d.). Moreover, from the patient’s perspective, nausea and vomiting can be distressfu l and thus appropriate and timely management of these two conditions is imperative.The Physiology of Nausea and Vomiting – an overview of the stimuli and pathway involvedFor several decades now, it has been established that the chemoreceptor trigger zone in the brain which is responsible for emesis is the area posterema. This is a region located at the dorsal surface of the medulla oblongata near the caudal end of the fourth ventricle. It is one of the ‘circumventricular organs’ and by the virtue of possessing a relatively permeable blood-brain barrier, is sensitive to a variety of stimuli (Sanger & Andrews, 2006, p. 5).Thus, it plays an important role in emesis. Studies have shown that there are five main kinds of stimuli which can trigger nausea and vomiting via different pathways viz. the presence of toxic materials within the gut lumen, presence of toxins in the blood, a pathology within the gut, a central nervous system (CNS) stimulus or disturbances in the vestibular system (Sanger & Andrews, 2006, p. 5). The mechanism whereby each of these stimuli brings about nausea and vomiting is discussed below.The presence of toxic materials within the gut lumen:The presence of toxins, such as drugs has been shown to stimulate the enteroendocrine cells, such as the enterochromaffin cells, located in the gut mucosa and result in the release of several mediators such as 5HT3, Substance P and CCK.This results in the stimulation of vagal afferent neurons which are located in the abdomen. These neurons traverse through the nucleus tractus solitarius (NTS) and are projected to the dorsal brainstem, with some projection in to the area posterema (Sanger & Andrews, 2006, p. 5).Presence of toxins in the bloodToxins which have been absorbed and are circulating in the bloodstream can directly stimulate the area posterema and cause induction of emesis (Sanger & Andrews, 2006, p. 5). This is the most common mechanism whereby ingested or parenterally administe red drugs, such as chemotherapeutic agents and other toxins such as drugs of abuse, invoke the emetic response.Gastrointestinal tract pathologiesCertain pathologies of the gastrointestinal tract, such as gastritis or hypertrophic pyloric stenosis can stimulate the vagal afferents or directly activate the pathways leading to emesis (Sanger & Andrews, 2006, p. 6).Central nervous system (CNS) stimuliCertain stimuli such as intense fear, anticipatory anxiety, injury to the brain or a sudden increase in the intracranial pressure can induce emesis (Sanger & Andrews, 2006, p. 6). The mechanism involved in such a response has not yet been elucidated clearly.Disturbances in the vestibular systemAmongst other manifestations of disturbances in the vestibular system, such as dizziness, nausea and vomiting is also an important symptom. The vestibular system has been shown to directly stimulate the pathways involved in the emetic response and hence produce nausea and vomiting (Sanger & Andrews, 2 006, p. 6).All these stimuli have been shown to stimulate various pathways which have one common outcome viz. the stimulation of the emetic center in the area posterema. (Kuver, Sheffield, & McDonald, n.d.). Several receptors, both central and peripheral, have been implicated in bringing about emesis.Amongst these the most pertinent ones are Dopaminergic receptors (particularly D2), Histaminergic receptors (especially H1), Muscuranic receptors (including M3/M5), 5-hydroxytryptamine receptors, in particular, 5-HT3 and the neurokinnin receptor, NK1 (Sanger & Andrews, 2006, p. 8)Once any of the above mentioned stimuli are encountered, an afferent response as discussed above is generated. This results in the activation of the chemoreceptor trigger zone in the area posterema. Subsequently, a motor response is generated, whereby efferent pathways involving the cranial nerves V, VII, IX and X are activated. Moreover, autonomic responses are also generated (Kuver, Sheffield, & McDonald, n.d .).The vagal efferents to various muscle groups such as those located in the esophagus, stomach and the intestine are activated bringing about stimulation of these muscles (Sanger & Andrews, 2006, p. 6). Moreover, abdominal muscles, phrenic muscles and the diaphragm are also stimulated to bring about the required increase in the intra-abdominal pressure. The combination of both these effects leads to the regurgitation of the gastric contents.Moreover, this is also accompanied by various other manifestations such as an increase in salivation, brought about by the stimulation of the chorda tympani branch of the facial nerve, autonomic stimulation of the cardiovascular and respiratory systems and vasoconstriction of skin vessels (Sanger & Andrews, 2006, p. 6).Antiemetic drugs used in pre-hospital careNausea and vomiting are commonly encountered clinical problems. Over the years, several anti-emetic medications have been discovered to effectively alleviate the symptoms of nausea and vom iting.These drugs work by blocking the pathways involved in the initiation and production of emesis. Various drugs have been developed which block the different receptors, both central and peripheral, involved in producing emesis.The anti-emetic medications which are used in common clinical practice can be grouped in to seven major categories according to their mode of action. These include anti-cholinergics, antiserotonins, antihistamines, Benzamides, Butyrophenones, Phenothiazines and steroids (Scuderi, 2003, p. 43).The mechanism of action and the dosages of the four main anti-emetics used in Ambulance Services in Australia are discussed below:1.  Ã‚  Ã‚  Ã‚  Ã‚   Metoclopramide (Maxolon):Metoclopramide has been used in clinical practice for several decades now as an antiemetic and a prokinetic agent (Walkembach, Bruss, Urban, & Barann, 2005, p. 50). These antiemetic functions are thought to be brought about by the antagonistic actions of Metoclopramide on the dopamine (D2) rece ptors, both central and peripheral, and also on the 5HT3 receptors (Walkembach, Bruss, Urban, & Barann, 2005, p. 50).On the other hand, the prokinetic action of Metoclopramide are brought about by the relaxation of the pyloric sphincter, the increase in the strength and frequency of peristalsis and an increase in the tone of the lower esophageal sphincter (Australasia, 2008).This drug is available in both tablet (white, round, 7mm in diameter) and injection (colorless, aqueous solution) forms (Australasia, 2008). The maximum dose of Metoclopramide commonly used in all age groups is up to 0.5 mg/kg body weight.The recommended dosage regimen for adults is 10mg three times daily while for children it varies between 2.5mg-5mg   three times daily (Australasia, 2008). The metabolism of Metoclopramide takes place in the liver and it is eliminated from the body predominantly via the kidney. (Australasia, 2008)2.  Ã‚  Ã‚  Ã‚  Ã‚   Prochlorperazine (Stemetil)Prochlorperazine is a phenothi azine which has been shown to block the dopamine receptors (D2) in the chemoreceptor trigger zone located near the area posterema. By blockage of these receptors, Prochlorperazine exerts its antiemetic actions. The recommended dosage of Prochlorperazine in is 10 mg intravenously (Goodman and Gilman’s: The Pharmacologic Basis of Therapeutic cited in Ernst, Weiss, Park, Takakuwa, & Diercks, 2000, p. 92).In emergency practice, IV administration of 2.5-10 mg of Prochlorperazine at a rate of up to 5mg/min is recommended for adults. The maximum dose should not exceed 40mg per day. Moreover, IM injections of this drug are also available. They are administered at a dose of 5-10 mg every 3-4 hours (Bartlett, 2009, p. 861).3.  Ã‚  Ã‚  Ã‚  Ã‚   Ondansetron (Zofran)Ondansetron is a carbazole derivative and is a potent antiemetic drug which is widely used in alleviating the symptoms of nausea and vomiting associated with chemo- and radio- therapies and also in the management of post-ope rative nausea and vomiting (Scuderi, 2003, p. 59). Its proposed mechanism of action is via selective antagonism at the level of the 5 HT3 receptors (Scuderi, 2003, p. 59).Chemotherapeutic agents are thought to bring about nausea and vomiting via the stimulation of enterochromaffin cells in the gut mucosa leading to 5HT3 production and subsequent vagal stimulation. This pathway is blocked by 5HT3 antagonists such as Ondansetron.Ondansetron has been shown to have a short half life of approximately 3 to 5 h (Ho & Gan, 2006, p. 607). The recommended dosage of Ondansetron varies between 8-16 mg twice daily (Bartlett, 2009).4. Promethazine (Phenergan)Promethazine is also a phenothiazine but is shown to have dual modes of action. It not only blocks the dopamine receptors (D2) but has also been shown to have anti-H1 histamine receptor effects. It is used for a wide range of purposes including in the treatment of motion sickness, vertigo and even allergies (Bartlett, 2009, p. 869).The recomm ended oral dose of Promethazine is 25 mg twice daily. It can also be administered intravenously at a dose of 12.5-25 mg every four hours. The maximum dose is 150 mg/day (Bartlett, 2009, p. 869).PART IIThere are several clinical conditions which can present with the symptoms of nausea and vomiting. Amongst these the most common condition is gastroenteritis, migraines and pancreatic amongst others.The adequate and timely management of patients with nausea and vomiting has posed a challenge for the clinicians for several decades and although several effective anti-emetics have been discovered, there has been a quest for a single anti-emetic which is efficient, fast acting and relatively safe.In the practice of ambulance services and emergency situations, different anti-emetics are commonly used including Metoclopramide, Chlorpromazine, Ondansetron and Promethazine. Amongst these, in my opinion, the most suitable drug for use in the ambulance service and emergency departments is Metoclo pramide.This is because on comparing the onset of action, clinical efficacy and side effect profiles of the most common anti-emetic agents, it is apparent that Prochlorperazine is superior to all other agents used. Moreover, its cost, availability and easy administration make it suitable for use in the emergency practice. Following is a comparison of the four most commonly used anti-emetic drugs.A common concern with the use of any drug is its safety and side effect profile. Safety becomes more important while dealing with patients in the emergency or ambulance care since limited resources, time and personnel are available in such settings, and the prime concern is the stabilization of the patient and alleviation of his symptoms.Drugs which have potentially unsafe need to be administered with caution and the patients need to be monitored for the occurrence of adverse effects. This is not feasible in emergency and ambulance practice and thus the ideal drugs for use in such settings a re those which have no or minimal side effects.With Metoclopramide, there is a 10-20% incidence of side effects and these side effects are mild. The most common side effects observed with this drug are CNS effects such as anxiety, restlessness and insomnia which can vary in severity (Australasia, 2008).Moreover, it has also been shown to cause fatigue and occasionally can cause extrapyramidal side effects. Another relatively common side effect of Metoclopramide is gynecomastia which occurs as a result of enhanced prolactin secretion (Kuver, Sheffield, & McDonald, n.d.).A rare complication associated with the use of Metoclopramide is Neuroleptic Malignant Syndrome which is a medical emergency and can lead to death. However, it is observed in only less than 1 in 10,000 cases (Australasia, 2008) .On the other hand, the phenothiazines including Prochlorperazine and Promethazine have been shown to have a greater number of side effects. Amongst these the ones which arouse the most concern are extrapyramidal symptoms.Extrapyramidal symptoms can range from tremor to akathisia and the potentially hazardous tardive dyskinesias (Australia, 2009). Moreover, they can also manifest as dystonic reactions are similar to the manifestations of Parkinson's disease. Less commonly, Neuroleptic Malignant Syndrome, which is a medical emergency, can also result from the use of these drugs.These effects are thought to be caused due to the central antidopaminergic properties of the phenothiazines on the dopamine receptors. The occurrence of these symptoms is noticed most commonly within 36 hours of initiation of treatment. However, these symptoms are reversible and once the drug is discontinued, they disappear within 24 hrs (Australasia, 2008).It is important to note that with Metoclopramide, the occurrence of extrapyramidal side effects is not very common. On the other hand, the phenothiozones such as Prochlorperazine and Promethazine have a much greater incidence of these side effect s.Drotts and Vinson (1999) in their study showed that with the use of Prochlorperazine, incidence of akathisia was 44% within 1 hour and 5% within 48 hours. (Braude, Soliz, Crandall, Hendey, Andrews, & Weichenthal, 2006, p. 181). Other studies, such as those of Ernst et. al., have supported these findings.These extrapyramidal symptoms, if severe, have to be treated with intravenous infusions of an anti-cholinergic agent such as diphenhydramine (Ernst, Weiss, Park, Takakuwa, & Diercks, 2000, p. 92).Other common side effects of phenothiazines include constipation, blurred vision, mild elevation of the hepatic enzymes (if the patient develops cholestatic jaundice), ECG changes, arrhythmias and hypotension (Australia, 2009).Hypotension in patients who are already dehydrated due to vomiting can lead to significant patient distress and is also important from the point of view of health care professionals, as it poses difficulties in patient management in emergency and ambulance settings. Moreover, most phenothiazines, in particular Promethazine are known to cause sedation due to histamine blockade.Promethazine has also been shown to reduce the seizure threshold. Due to the multitude of serious adverse effects of Promethazine the Food and Drug Administration (FDA) has restricted its use in children under two years of age (DeCamp, Byerley, Doshi, & Steiner, 2008, p. 859).As compared to Metoclopramide, Ondansetron has relatively lesser side effects. The most commonly encountered adverse effects of this agent include headaches, constipation and mild elevation of serum transaminases (Kuver, Sheffield, & McDonald, n.d.).But this drug is not preferred over other anti-emetic agents due to its cost and availability issues (Ernst, Weiss, Park, Takakuwa, & Diercks, 2000, p. 92). Moreover, it is used more commonly to prevent post-operative nausea and vomiting and in patients receiving chemotherapy and its role in acute settings has not been extensively studied.Pregnancy is one of the most common conditions which present with nausea and vomiting.   Amongst the commonly available anti-emetics only a few are safe to use in pregnancy.Studies have shown Metoclopramide to be safe for use during pregnancy and this drug has not been shown to cause any long term complications in children of mothers using it during pregnancy (Sà ¸rensen, Nielsen, Christensen, Tage-jensen, Ekbom, & Baron, 2000). Similarly the safety of Ondansetron has also been proven by several studies conducted recently (Einarson, Maltepe, Navioz, Kennedy, Kennedy, & Koren, 2004, p. 940).However, both Promethazine and Prochlorperazine belong to Category C and thus   have limited use in pregnancy (Australia, 2009).Another advantage of Metoclopramide is its ability to provide faster relief from the symptoms of nausea and vomiting. Metoclopramide has been shown to have a rapid onset of action. Following IV administration, its effects start manifesting in around 1 to 3 minutes, whereas following intramuscular administration, 10 to 15 minutes is required (Australasia, 2008). This rapid action makes it suitable for use in emergency practice,Although there is a paucity of studies comparing the cost effectiveness of Metoclopramide with other antiemetics, studies comparing the cost-effectives in patients undergoing chemotherapy have shown that Metoclopramide to be more cost effective than Ondansetron (Ballatori, et al., 1994).Thus, in conclusion, keeping the side effect profiles, the availability and cost effectiveness of all the anti-emetics in view, in my point of view Metoclopramide is best suited for use in ambulatory settings. Metoclopramide has several benefits over other anti-emetics.It has a fast onset of action which makes its practical for use in emergency settings. Moreover, it has lesser and milder adverse effects as compared to other anti-emetics. In addition, it can be used in all age groups and is safe in pregnancy. Thus, all these properties make Metoclopramide i deal for use in ambulatory care settings.ReferencesAustralasia, V. P. (2008, October 22). Metoclopramide hydrochloride-Data sheet. Retrieved May 1, 2009, from Medsafe-INFORMATION FOR HEALTH PROFESSIONALS: http://www.medsafe.govt.nz/Profs/datasheet/m/Maxolontabsyrinjsupp.htmAustralia, S.-A. (2009). Sanofi-Aventis Australia. Retrieved May 1, 2009, from Product Information: http://www.sanofi-aventis.com.au/products/aus_pi_phenergan.pdfBallatori, E., Roila, F., Berto, P., De Angelis, V., Neri, C., Olivieri, A., et al. (1994). Cost and cost-effectiveness analysis of ondansetron versus metoclopramide regimens: a hospital perspective from Italy. Pharmacoeconomics , 227-37.Bartlett, J. &. (2009). 2009 Nurse's Drug Handbook . Jones & Bartlett .Bowen, R. (n.d.). Physiology of Vomiting. Retrieved May 1, 2009, from The Stomach: http://www.vivo.colostate.edu/hbooks/pathphys/digestion/stomach/vomiting.htmlBraude, D., Soliz, T., Crandall, C., Hendey, G., Andrews, J., & Weichenthal, L. (2006). Anti emetics in the ED: a randomized controlled trial comparing 3 common agents. American Journal of Emergency Medicine , 177–182.DeCamp, L. R., Byerley, J. S., Doshi, N., & Steiner, M. J. (2008). Use of Antiemetic Agents in Acute Gastroenteritis:A Systematic Review and Meta-analysis. Archives of pediatric and adolescnet medicine , 858-865.Drotts, D. L., & Vinson, D. R. (1999). Prochlorperazine Induces Akathisia in Emergency Patients. Annals of Emergency Medicine .Einarson, A., Maltepe, C., Navioz, Y., Kennedy, D., Kennedy, D., & Koren, G. (2004). The safety of ondansetron for nausea and vomiting of pregnancy:a prospective comparative study. BJOG: an International Journal of Obstetrics and Gynaecology , 940–943.Ernst, A. A., Weiss, S. J., Park, S., Takakuwa, K. M., & Diercks, D. B. (2000). Prochlorperazine Versus Promethazine for Uncomplicated Nausea and Vomiting in the Emergency Department: A Randomized,Double-Blind Clinical Trial. Annals ofEmergency Medicine , 89-94.Ho, K .-Y., & Gan, T. J. (2006). Pharmacology, pharmacogenetics, and clinical efficacy of 5-hydroxytryptamine type 3 receptor antagonists for postoperative nausea and vomiting. Current Opinion in Anaesthesiology , 606–611.

Monday, January 6, 2020

Essay on Aspergers Syndrome - 1111 Words

Although there is no cure for Aspergers syndrome, masking the symptoms and overcoming the challenges is possible by learning proper social skills, staying within a comfort area, and having a good support structure. A person with Aspergers syndrome faces many daily challenges, such as carrying on a conversation or looking someone in the eyes while speaking. Jacob, the main character in House Rules, by Jodi Picoult, learns to live with these challenges and function as normally as he can. Aspergers syndrome, also called Aspergers disorder, is a type of pervasive development disorder (PDD). PDDs are a group of conditions that involve delays in the development of many basic skills, most notably the ability to socialize with others, to†¦show more content†¦Communication is one of the hardest challenges with Aspergers. People with Aspergers have a limited area of interest, resulting in the excessive discussion about this area of interest. They often do not realize that someone has lost interest in the topic of discussion (PubMedHealth). Most treatment efforts focus on enhancing communication skills and reducing problem behaviors. For children with Aspergers syndrome, most therapy should consist of school education combined with special psychological supports for communication and socialization problems (Magills Medical Guide). Fortunately, people, like Jacob, have tutors or teachers to help them converse and behave in a calm and collected manner. Jess, Jacobs tutor, teaches him how to order food politely, how to greet people, and overall, how to carry on a conversation without delving too deep into a certain subject. Being in a school environment gives one with Aspergers a sense of belonging or recognition. Jacob goes to a public school that allows him to use a get out of class pass if it gets too overwhelming for him. There is a certain area of comfort for someone with Aspergers. Going outside that comfort zone can cause emotional anxiety. For Jacob, the color orange causes anxiety. The color orange. It means danger, and theres no rhyme for it in English, which makes it suspicious (Picoult 20). Jess worked with Jacob for weeks on promShow MoreRelatedAspergers Syndrome Essay1101 Words   |  5 PagesAspergers Syndrome Today there are many different types of disabilities and syndromes. When you have a child to be diagnosed with a disability or a syndrome life can suddenly become overwhelming. This is especially true if they have been diagnosed with Aspergers Syndrome. Parents sometimes feel guilty because their child has a disability or syndrome. Parents may feel that they are responsible for their childs disability or syndrome. Parents may feel guilty about their child being diagnosedRead More Asperger’s Syndrome Essay2026 Words   |  9 PagesAsperger’s syndrome is becoming more and more common as time goes by. Each year, more children are being diagnosed. This paper focuses on Asperger’s Syndrome and developing social skills in various social settings. By looking at the etiology, diagnostic procedures, how the condition effects development, daily challenges, current social/cultural views, and relevant social interventions, a better understanding on how to devel op social skills for children with Asperger’s Syndrome can ensue. TheRead MoreAspergers Syndrome Essay1613 Words   |  7 PagesCan you imagine a preschool age child who does not like to play games that involve use of his/her imagination? Imaginative games is one of the hallmarks of early childhood. These are some of the problems that people with Aspergers syndrome live with every day. Aspergers syndrome is a relatively new diagnosis in the DSM-IV, the manual that mental health professionals use to diagnose patients. The disorder was first included in the latest edition in 1994. It is one of the pervasive developmentalRead More Aspergers Syndrome Essay1752 Words   |  8 PagesHans Asperger, a pediatrician from Austria, began to study a group of children at his clinic in 1944. He noticed that the young boys he was studying were clumsy, lacked social skills, and did not understand nonverbal communication. Asperger’s syndrome (AS), named after Doctor Hans Asperger, is a developmental disorder. Research by Woodbury-Smith and Volkmar (2009), claim that AS was originally thought of as a less severe form of Autism, in which the individual has higher linguistic ability but stillRead MoreLife of a Child with Aspergers Syndrome702 Words   |  3 PagesWhile children with Asperger’s Syndrome have an average to above average intelligence and normal cognitive abilities, they unfortunately suffer with impaired social skills. An effective treatment program will have to be tailored to fit the specific child’s Asperger’s in order for the child to be successful in managing his or her own behaviors. This form of treatment is run by a psychologist, counselor, speech pathologist, or social worker, these therapies are invaluable ways to build social skillsRead MoreEmily Comp: Aspergers Syndrome Research Paper2018 Words   |  9 PagesEmily Comp Research Paper November 18, 2012 Asperger’s Syndrome Approximately 947,570 Americans have Asperger’s Syndrome (AS), however, it is not an easy disorder to explain (Bashe 19). With multiple conditions and characteristics in each case, AS is not an easy disorder to diagnose. Asperger’s Syndrome was named after Hans Asperger, an Austrian physician, who first described the disorder in 1944 after studying a group of children with similar, unusual characteristics. However, AS was notRead MoreA Case Study of T.C.: Aspergers Syndrome Essay1943 Words   |  8 Pagesdelayed in speech. In addition, she walked on her toes, did not make eye contact with others, had a terrible fear of loud sounds, cried frequently, and was a poor sleeper. She was evaluated before her second birthday and was diagnosed with Asperger’s Syndrome or related pervasion developmental disorders and has profound difficulty with social interaction. She has received speech therapy, with an emphasis on social skills training, intense therapeutic therapy, a nd occupational therapy. T.C. is inRead MoreAsperger’s Syndrome: Madness, Savantism, or Genius2985 Words   |  12 Pages. Asperger’s Syndrome: Madness, Savantism, or Genius? Marilou Bauer Ottawa University Physiological Psychology PSY 31354 Dr. John Papazafiropoulos June 11, 2012 Asperger’s Syndrome: Madness, Savantism or Genius? Everyone knows, or has known, a person that could be described as a little â€Å"off†, â€Å"quirky†, or â€Å"eccentric†. That was the person who was socially inept, shy, studious, and may have had a stutter. They might have had an artistic talent, or may have seemed almost a â€Å"genius†Read MoreAnalysis Of Henry David Thoreau And Aspergers Syndrome1062 Words   |  5 Pageswhat makes his works so popular. His elaborate writing style and sharp detail in his stories, though, make him seem pretentious to many readers. However, many scholars have come to debate: Was Thoreau pretentious, or did he have Asperger’s syndrome? Asperger’s syndrome is a condition that is on the autism spectrum. The American Psychiatric Association’s Diagnostic and Statistical Manual, Fifth Edition (DSM-5) uses three standard criteria to specify the severity of the condition. In John M. Mahoney’sRead MoreEssay on Asperger?s Syndrome1037 Words   |  5 Pages Asperger’s Syndrome Today there are many different types of disabilities and syndromes. When you have a child to be diagnosed with a disability or a syndrome life can suddenly become overwhelming. This is especially true if they have been diagnosed with Asperger’s Syndrome. Parents sometimes feel guilty because their child has a disability or syndrome. Parents may feel that they are responsible for their child’s disability or syndrome. Parents may feel guilty about their child being diagnosed with