Thursday, January 30, 2020

Ethnic Groups and Discrimination Essay Example for Free

Ethnic Groups and Discrimination Essay I belong to the White ethnic group which was responsible for the colonization of North America. While I am part of the White ethnic group, my family immigrated to the United States from Germany quite some time after the major colonization of North America. When most people think about the colonization of North America they think of White people on the Mayflower landing on Plymouth Rock. While the pilgrims did colonize what is now referred to as New England, the Spanish were actually the first to colonize North America. No matter who first colonized North America, this colonization caused an influx of immigrants that asserted their dominance over the native people. This colonization was also the root cause of slavery being introduced to this New World. Pilgrims are most notably identified as coming to North America to escape religious persecution. The ironic part of the colonization is that the pilgrims forced their religion on those native to North America. It is important to note that this may be one of the first indications of future ethnic and racial problems that would caused by the colonization of North America. I dont think people normally think about racism happening to Caucasians. Unfortunately it is very common for racism to happen to all ethnic groups in the U. S. Caucasian racism and prejudice against other ethnic and racial groups always seem to get the most publicity. It would be better to broaden our view of prejudice and racism so that we could get the whole story. I think that the Caucasian group had brought most of this negative attention on itself. Historically the U. S. has been dominated by Caucasians, which means this group doesnt have as much to worry about restrictions due to ethnicity or racial group. If we break down the Caucasian group even further we can see that this is even truer for the males, which I am, of this group. Male Caucasians have long been the dominant force in U. S. society. The majority of restrictions placed on females and ethnic groups have been enforced by Male Caucasians. The most notable Caucasian discrimination has been against African Americans. African Americans were largely used for slave labor during the beginning of the U. S. Going from slave to equal isnt easy, in both occurrence and acceptance from the former dominant or controlling group. This dominant position can be seen as a major reason why the view of discrimination is still focused on Caucasians. Since the Caucasian males of the past have put restrictions on most other ethnic groups, this wrong was attempted to be undone by Affirmative Action laws (Fullinwider, Robert). While most people see Affirmative Action as being helpful, it has also caused discrimination against Caucasian males. Some government agencies require a quota on hiring certain ethnic groups (this included female Caucasians). This can cause a job candidate that has hirer qualifications to be passed over just to fulfill a quota. I have seen this happen to my father while he was applying for a firefighter/EMT position. You can easily see the Caucasian male dominance by noticing the dual labor market effect. I see it more as a multiple labor market since I would also include female Caucasians as another labor market. Immigrants from Mexico often enter into a portion of this multiple labor market, most notably the farming community. Whether it is farming, manual labor, or the lower-end service sector it seems that it seems more acceptable to Caucasians for other ethnic groups to occupy these types of jobs. When the other ethnic groups occupy positions normally held by Caucasian males, we often see a limitation in their ability to progress in that profession (glass ceiling). If you look at the breakdown of people who run companies you will see this is dominated by Caucasians males, followed by males of the other ethnic groups, then females of all ethnic groups. Discrimination isnt only apparent in the job market, but in how companies invest in certain areas. It is seen in our response to what is happening in other areas of cities or areas of the country. We have slums and ghettos that dont get investment monies to fix them up due to the lower class segregation. We have other areas occupied by a high number of non-Caucasians that dont get investments just because of their ethnicity. New Orleans is a perfect example of all of these inequalities. It was a city segregated by race, ethnicity, and social class standing. The devastation caused by hurricane Katrina happened to people who couldnt afford to get out on their own, and was compounded by the predominantly Caucasian governments lack of response (arguably due to the racial differences between U. S. leaders and with the people effected by the disaster). I dont feel that I fit in with the standard culture for my Caucasian ethnic group or the U. S. mainstream culture. I dont participate in any religions, as I believe in myself and science that can be proved. I dont feel that I am or need to be better than any other ethnic group. I couldnt care less about what style is popular or what haircuts are in. I just try to be myself and try to ignore things that try to sway my opinions. Instead of taking someones word for something I would rather research and come to my own decision (almost to a fault). I think it is better to be different than a lemming following the crowd running off the cliff. References Fullinwider, Robert (2005). Affirmative Action. Retrieved February 1, 2006 from http://plato. stanford. edu/entries/affirmative-action/.

Wednesday, January 22, 2020

Richard Wagner :: essays research papers fc

Richard Wagner TIME LINE: Wagner’s Life 1813: Wilhelm Richard Wagner is born on May 22. Wagner’s father dies on November 23. ;1814: Wagner’s mother remarries  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1815: Wagner’s mother has a daughter Cacilie  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1821: Wagner’s step-father dies  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1829: Wagner composes his first music: two piano sonatas and a string quartet  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1830: Writes a piano arrangement for Beethoven’s Ninth Symphony  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1832: Begins work on first opera, Die Hochzeit  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1833: Begins work on Die Feen  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1836: Marries Minna Planer  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1839: Flees to London to avoid creditors, then to Paris  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1847: Takes an interest in Greek plays  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1857: Begins work on Tristan & Isolde  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1858: Minna finds love letter Richard wrote to Mathilde  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1859: Moves to Paris with Minna and completes Tristan & Isolde  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1862: Richard and Minna separate and Wagner moves to Vienna  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1864: Wagner begins affair with Cosima Von Bulow  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1865: A daughter Isolde is born to Richard and Cosima and he moves to Switzerland  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1867: A second daughter, Eva, is born to Richard and Cosima  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1869: A son, Siegfried, is born to Richard and Cosima  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1870: Richard and Cosima finally get married  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1878: Begins writing a series of reactionary essays  §Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  1883: Richard Wagner dies of a heart attack in Venice on February 13. The funeral   Ã‚  Ã‚  Ã‚  Ã‚  was held at Bayreuth on February 18. WAGNER’S WORKS OPERA  Ã‚  Ã‚  Ã‚  Ã‚  COMPLETED Die Feen  Ã‚  Ã‚  Ã‚  Ã‚  6 Jan 1834 Das Liebesverbot  Ã‚  Ã‚  Ã‚  Ã‚  Dec 1835 Rienzi  Ã‚  Ã‚  Ã‚  Ã‚  19 Nov 1840 Der fliegende Hollà ¤nder  Ã‚  Ã‚  Ã‚  Ã‚  30 Oct 1841 Tannhà ¤user  Ã‚  Ã‚  Ã‚  Ã‚  13 Apr 1845 Lohengrin  Ã‚  Ã‚  Ã‚  Ã‚  28 Apr 1848 Das Rheingold  Ã‚  Ã‚  Ã‚  Ã‚  26 Sep 1854 Die Walkà ¼re  Ã‚  Ã‚  Ã‚  Ã‚  23 Mar 1856 Siegfried  Ã‚  Ã‚  Ã‚  Ã‚  5 Feb 1871 Gà ¶tterdà ¤mmerung  Ã‚  Ã‚  Ã‚  Ã‚  21 Nov 1874 Tristan und Isolde  Ã‚  Ã‚  Ã‚  Ã‚  6 Aug 1859 Die Meistersinger  Ã‚  Ã‚  Ã‚  Ã‚  24 Oct 1867 Parsifal  Ã‚  Ã‚  Ã‚  Ã‚  13 Jan 1882 RICHARD WAGNER   Ã‚  Ã‚  Ã‚  Ã‚  Richard Wagner was one of the most influential and controversial classical composers of all time. Most of his works were operas and they addressed many aspects of his personal feelings: society, politics, religions, etc. Though many hated (and still hate) him and his work, most revere him to be a multitalented genius that brought 19th Century music to higher levels. Wagner’s Life Wilhelm Richard Wagner was born on May 22, 1813 in Leipzig. At six months old, Wagner lost his father Frau Karl Friedrich to typhoid, which he caught from the corpses lying unburied in the streets after the Napoleonic War in Leipzig. Less than a year later, Wagner’s mother married Ludwig Geyer, who Wagner believes is his real father, even though nothing was ever proved. Geyer, like Wagner had an artistic gift. He was an actor a painter, dramatist, and singer. As a child, Geyer was determined â€Å"to make something† of Wagner (Jacobs 3). He failed at drawing and painting. Wagner did not realize he had a talent until Geyer was on his deathbed with collapsed lungs.

Monday, January 13, 2020

Iga Nephropathy In Kuwait Health And Social Care Essay

Methods: From all nephritic biopsies done between January 2000 and December 2004 in Mubarak Al Kabeer Hospital, instances of IgA kidney diseases were selected and their medical records every bit good as biopsy findings were reviewed. Consequences: Eighty patients ( 9.2 % of all native kidney biopsies ) were diagnosed to hold IgA nephropathy. Sixty nine biopsies were included in the survey and eleven were excluded because of presence of any of the exclusion standards or losing clinical informations. Forty three ( 62.3 % ) instances were males, and 26 ( 37.7 ) instances were females. Fifty instances ( 72.5 % ) were below the age of 40 old ages. Average continuance of follow up was 3.6 ±1.3 old ages. The first presentation included nephrotic scope albuminuria ( 49.3 % ) , and nephritic damage ( 50.7 % ) . During the follow up period, 56 ( 81.2 % ) were stable or improved. Hass categorization of biopsies showed ; 36.2 % had Class I, 27.5 % had category II, 13.0 % had category III, 5.8 % had category IV, and 17.4 % had category V IgAN. Females had milder signifiers of the disease than males. Macroscopic haematuria and nephritic damage at presentation were seen more in patients with category IV and V. The presenting serum creatinine and uric acid were higher in those with Hass categories III to V. Deterioration of nephritic map during the follow up period was more important in presence of high blood pressure, nephritic damage and macroscopic haematuria at clip of biopsy. Decision: The incidence of IgAN in Kuwait is approximately 9.2 % . Nephritic damage at presentation and macroscopic haematurias were seen in patients with more aggressive nephritic lesions and property to hapless result. Cardinal words: Proteinuria, IgA nephropathy, nephritic Biopsy, Hass categorizationIntroductionIgA kidney disease ( IgAN ) was first described in 1968 by Berger and Hinglais. ( 1 ) It is now recognized as the most common primary glomerulonephritis worldwide. ( 2 ) It presents with haematurias and frequently proteinuria. Although a moderate grade of albuminuria is common in patients with IgAN, nephrotic syndrome is considered uncommon in these patients. ( 3 ) The class of IgAN is variable, and 15 % -40 % of patients progress to end-stage nephritic disease over 10-20 old ages. ( 4 ) The pathogenesis of IgAN is complex and non wholly understood. Both environmental and familial factors have been found to be involved in the disease oncoming and patterned advance. ( 4,5 ) Humoral unsusceptibility is believed to play an of import function, characterized by the prevailing mesangial IgA1 deposition and associated secondary inflammatory response. ( 5 ) Curative attempts have been directed at either cut downing or forestalling antigen entry, and changing the unnatural immune response and its effects. However, the appropriate therapy for IgAN remains unsure and healing therapy is still non available. ( 6,7 ) The purpose of this survey was to reexamine instances of IgAN in Mubarak Al kabeer Hospital- Kuwait between January 2000 and December 2004, and to analyze the spectrum of clinical presentation and histopathological findingsMethodAll nephritic biopsies performed in Mubarak Al kabeer Hospital from January 2000 to December 2004 were retrospectively reviewed. Biopsies performed on grownup patients with IgAN were selected and reviewed. Patients were excluded from the survey if clinical or serologic grounds of Henoch Schonelin peliosis, collagen vascular diseases, liver cirrhosis, diabetes mellitus, or other kidney diseases were present. Kidney transplant instances were besides excluded from the survey. Clinical and research lab informations at presentation and during the follow up period and the intervention given were obtained by careful retrospective survey of the infirmary records of each patient. The histopathology glass slides were reviewed and the pathology studies were retrieved from the section of pathology computerized filing system. Each kidney biopsy was prepared by cutting paraffin blocks at 3 um subdivisions and staining 2 slides with peroidic acid schiff, 2 slides for Hematoxylin and Eosin, 1 slide for Jones Methenamine splinter and one slide for trichrome. Immunoperoxidase staining was besides performed routinely on all slides for IgG, IgA, IgM and C3. Antibodies were from Dako and titration was performed harmonizing to the cusps with the antibody phials. Electron microscopy ( EM ) was non routinely done on all instances in the establishment, nevertheless, on selected instances EM was performed and the movies were retrieved and reviewed along with the EM study.Statistical methods:ISSN 1110-0834Numerical variables are expressed as Mean  ± SD. The relation within and between the clinical and the histopathological variables were obtained utilizing ?2 trial or Fisher ‘s exact chance trial for categorical variables and nonparametric Mann Whitney U and Kruskal Wallis trials for uninterrupted variables. P & A ; lt ; 0.05 was considered as statistically important. Statistical analysis was performed utilizing SPSS for Windowss version 16 ( SPSS, Inc, Chicago, IL )ConsequenceA entire figure of 1575 nephritic biopsies were performed in the institute during the 5 old ages study period. Eight hundred 70 one biopsies were performed on native kidneys, and 704 were performed on transplanted kidneys. Eighty patients ( stand foring 9.2 % of the native kidney biopsies, 5.1 % of the entire biopsies ) were found to hold IgA nephropathy harmonizing to the biopsy consequences. Eleven patients were excluded from the survey because of losing informations or the presence of any of the exclusion standards. Sixty nine patients were enrolled in the survey. Forty three ( 62.3 % ) were males and 26 ( 37.7 % ) were females. The average age at presentation was 35.52 ±10.13 old ages. Fifty patients ( 72.5 % ) were below age of 40 old ages and 19 ( 27.5 % ) were ? 40 old ages. Average continuance of follow up was 3.6 ±1.3 old ages. Cases were presented by either microscopic ( 82.6 % ) or macroscopic haematurias ( 17.4 % ) . Nephrotic scope albuminuria was seen in 34 ( 49.3 % ) instances while non-nephrotic albuminuria was detected in 35 ( 50.7 % ) instances. High blood pressure was detected in 35 ( 50.7 % ) of instances and nephritic damage was detected in 35 ( 50.7 % ) of instances. Fifty Six ( 81.2 % ) were stable or improved during the follow up period. Serum IgA, C3, and C4 degrees were all within the normal mention scope. Patient clinical and laboratory informations were mentioned in tabular array I. Evaluation of nephritic biopsy slides was performed harmonizing to the Hass categorization of IgA nephropathy ( 8 ) showed ; 25 patients ( 36.2 % ) had Class I IgAN, 19 ( 27.5 % ) had category II IgAN, 9 ( 13.0 % ) had category III, 4 patient ( 5.8 % ) had category IV, and 12 patients ( 17.4 % ) had category V IgAN. ( table II ) ( fig 1, 2 ) Seven ( 10.4 % ) patients were treated with methyl Pediapred pulsation for crescentic lesions, 41 patients ( 59.4 % ) treated with unwritten steroids, 10 ( 14.5 % ) received mycophenolate mofetile or Imuran, 18 patients ( 26.1 % ) received cyclosporine, and 58 patients ( 84.1 % ) treated with angiotonin change overing enzyme inhibitors or angiotonin receptor blockers. Fish oil was given as an accessory therapy in 46 ( 66.7 % ) instances. Females had milder histological signifier of the disease ( category I ) whereas males tended to hold more aggressive signifiers ( category IV and V ) ( P & A ; lt ; 0.05 ) . No relation was found between the Hass categorization and any of the age at presentation, high blood pressure, presence of hydrops or the degree of albuminuria ( P & A ; gt ; 0.05 ) . Macroscopic haematuria was seen more in category IV ( 75 % ) and category V ( 25 % ) than category I ( 8 % ) ( P & A ; lt ; 0.05 ) . Nephritic damage at presentation was seen more in patients with category IV ( 75 % ) and category V ( 91 % ) than category I ( 28 % ) ( P & A ; lt ; 0.001 ) . The showing serum creatinine and uric acid were higher in those with Hass categories III to V than category I and II ( P & A ; lt ; 0.001, & A ; lt ; 0.05 severally ) . ( table III ) Deterioration of nephritic map during the follow up period was more important in presence of high blood pressure, nephritic damage at clip of biopsy, and macroscopic haematuria ( P & A ; lt ; 0.05 ) whereas the showing degree of albuminuria, age, gender, and Hass categorization had a non important consequence on the impairment of kidney maps ( P & A ; gt ; 0.05 ) . The higher the showing serum creatinine the more the impairment of nephritic map during the follow up period ( P & A ; lt ; 0.05 ) . ( table IV ) Fig. 1: A instance of crescentic IgA kidney disease. Mesangial enlargement with a cellular crescent. PAS x 400 Fig. 2: Immunoperoxidase staining shows a outstanding Mesangial form. IgA immunoperoxidase x 400 Table I: Clinical and laboratory informations of patients holding IgA nephropathy ( n=69 )Age in old ages ( mean ±SD )35.52 ±10.13Gender ( male ) N ( % ) 43 ( 62.3 ) Smoking N ( % ) 17 ( 24.6 ) Hypertension N ( % ) 35 ( 50.7 ) Hematuria N ( % ) Microscopic Macroscopic 57 ( 82.6 ) 12 ( 17.4 ) Proteinuria N ( % ) Nephrotic scope Non- Nephrotic scope 34 ( 49.3 ) 35 ( 50.7 ) Serum creatinine  µmol/l ( mean ±SD ) 162.97 ±148.1 Creatinine clearance ml/min/1.73m2 ( average  ± SD ) 48.2 ±37.1 Nephritic damage N ( % ) 35 ( 50.7 ) Serum albumen gm/l ( mean ±SD ) 31.33  ±7.08 Serum Cholesterol mmol/l ( mean ±SD ) 5.65 ±1.9 Serum Triglycerides mmol/l ( mean ±SD ) 1.96 ±1.1 Serum IgA degree gm/l ( mean ±SD ) 2.69 ±1.0 Serum C3 degree gm/l ( mean ±SD ) 1.04 ± 0.15 Serum C4 degree gm/l ( mean ±SD ) 0.94 ±0.12 Edema N ( % ) 30 ( 43.5 ) Treatment given N ( % ) Methyl Pediapred pulsation Angiotensin change overing enzyme inhibitors Oral Steroids Azathioprine Cyclosporine Fish oil 7 ( 10.1 ) 58 ( 84.1 ) 41 ( 59.4 ) 10 ( 14.5 ) 18 ( 26.1 ) 46 ( 66.7 ) Duration of follow up ( mean ±SD ) old ages 3.6 ±1.3 Prognosis N ( % ) Stable / Improved Deterioration of nephritic maps 56 ( 81.2 ) 13 ( 18.8 ) Table II: Histoathological spectrum of nephritic biopsy consequences harmonizing to Hass categorization among IgA N patients ( n=69 )Hass ClassificationNumber ( % )Class I 25 ( 36.2 ) Class II 19 ( 27.5 ) Class III 9 ( 13.0 ) Class IV 4 ( 5.8 ) Class V 12 ( 17.4 ) Table Three: Relation between clinical presentation and Hass categorization ( n=69 )Clinical andresearch lab informationsHass ClassificationTrial of significanceP valueClass IN ( % )Class IIN ( % )Class IIIN ( % )Class IVN ( % )Class VN ( % )GenderMale Female 12 ( 48 ) 13 ( 52 ) 10 ( 52.6 ) 9 ( 47.4 ) 7 ( 77.8 ) 2 ( 22.2 ) 3 ( 75 ) 1 ( 25 ) 11 ( 91.7 ) 1 ( 8.3 ) & A ; lt ; 0.05*Age at presentation& A ; lt ; 40 old ages & A ; gt ; 40 old ages 20 ( 80 ) 5 ( 20 ) 9 ( 47.4 ) 10 ( 52.6 ) 8 ( 88.9 ) 1 ( 11.1 ) 3 ( 75 ) 1 ( 25 ) 10 ( 88.3 ) 2 ( 11.7 ) & A ; gt ; 0.05High blood pressure11 ( 44 ) 9 ( 47 ) 4 ( 44.4 ) 3 ( 75 ) 8 ( 66 ) & A ; gt ; 0.05Edema13 ( 52 ) 6 ( 31.6 ) 5 ( 55.6 ) 2 ( 50 ) 4 ( 33.3 ) & A ; gt ; 0.05Nephrotic scope Proteinuria12 ( 48 ) 6 ( 31 ) 5 ( 55.6 ) 3 ( 75 ) 8 ( 66.7 ) & A ; gt ; 0.05Macroscopic haematuria2 ( 8 ) 4 ( 21 ) 0 ( 0 % ) 3 ( 75 ) 3 ( 25 ) & A ; lt ; 0.01*Nephritic damage7 ( 28 ) 8 ( 42.1 ) 6 ( 16.7 ) 3 ( 75 ) 11 ( 91.7 ) & A ; lt ; 0.001*Showing serum Creatinine  µmol/l84.4 ±31.7 171.3 ±179.6 203.2 ±198.7 288.5 ±84.5 278.5 ±140.1 & A ; lt ; 0.001*Serum Uric acid mmol/l312.6 ±71.8 381.4 ±171.3 428.2 ±20.3 459.5 ±188 412 ±143.9 & A ; lt ; 0.01* Table Four: Factors finding deterioration of the kidney map during the follow up Period ( n=69 )Clinical andresearch lab informationsDeterioration of kidney mapTrial of significanceP valueYesn ( % )Non ( % )Gendermale female 11 ( 25.6 ) 2 ( 7.7 ) 32 ( 74.4 ) 24 ( 92.3 ) & A ; gt ; 0.05Age& A ; lt ; 40 old ages & A ; gt ; 40 old ages 11 ( 22 ) 2 ( 10.5 ) 39 ( 78 ) 17 ( 89.5 ) & A ; gt ; 0.05High blood pressureYes No 10 ( 28.6 ) 3 ( 8.8 ) 25 ( 71.4 ) 31 ( 91.2 ) & A ; lt ; 0.05*HematuriasMicroscopic Macroscopic 8 ( 14 ) 5 ( 41.7 ) 49 ( 86 ) 7 ( 58.3 ) & A ; lt ; 0.05*AlbuminuriasNon-Nephrotic scope Nephrotic scope 5 ( 14.3 ) 8 ( 23.5 ) 30 ( 85.7 ) 26 ( 76.5 ) & A ; gt ; 0.05Nephritic damage at presentationYes No 10 ( 28.6 ) 3 ( 8.8 ) 25 ( 71.4 ) 31 ( 91.2 ) & A ; lt ; 0.05*EdemaYes No 6 ( 20 ) 7 ( 17.9 ) 24 ( 80 ) 32 ( 82 ) & A ; gt ; 0.05DiscussionMany studies of glomerulonephritis associated with mesangial IgA sedimentations have been published since the original study of IgAN by Berger and Hinglais. The evident incidence of this upset has varied in surveies from different states. In France, ( 9 ) Spain, ( 10 ) Japan, ( 11 ) and Italy ( 12 ) the incidence has ranged from 11.7 to 43.3 % of nephritic biopsies. Much lower incidences have been reported in the United provinces, ( 13 ) England, ( 14 ) and Canada ( 15 ) with the incidence runing from 2.0 to 8.5 % in these states. Berger ( 16 ) suggested that the higher reported incidence of this disease in certain states compared to others may reflect the pattern of everyday one-year uranalysis in the states with high incidence rates. To the best of our Knowledge this is the first survey from the Arab states showing the incidence of IgAN. We reported the incidence to be 9.2 % of native kidney biopsies in Kuwait. Since the original description of IgAN, a figure of surveies have attempted to correlate initial clinical and pathological findings with the subsequent class of the disease. The present survey was in conformity with the old surveies in demoing that females had milder pathologic alterations whereas males were shown to hold more aggressive signifiers. ( 17 ) There is a distinguishable geographical difference in the incidence of macroscopic haematuria in grownup patients. ( 18 ) In European states the reported incidence exceeded 50 % , ( 19,20 ) whereas in Japan, the incidence scope was from 15 to 31 % ( 21,22 ) This difference in distribution can be attributed to difference in the disease nature that could be linked to familial factors. ( 19 ) The predictive significance of macroscopic haematuria was controversial. In the present survey macroscopic haematuria was detected in 17.2 % of instances and found to be associated with aggressive histologic findings and correlatives with hapless forecast. This confirmed the consequences of the South West Pediatric Nephrology Study Group. ( 17 ) Furthermore, Bennet and Kinciad-Smith ( 23 ) reported that nephritic map became significantly worse in those with macroscopic haematurias, and emphasized the high incidence of crescent formation in these instances. However, Clarkson et Al. ( 24 ) demonstrated that nephritic map and lesions were significantly better in patients with macroscopic haematurias than those without it. In our survey nephritic damage at presentation was seen more in patients with category IV and category than category I. Correlation between more extended pathologic characteristics and terrible clinical manifestation were besides documented by Hass et Al. ( 25 ) The presenting serum uric acid correlated with the diseased findings with higher degrees in those with Hass categories III to V than category I and II. This confirmed the consequences of Myllimaki et Al. ( 26 ) who proved a strong correlativity between serum uric acid degree and badness of nephritic harm on biopsy. The overall forecast of IgA N remains to be confirmed. In grownup surveies the incidence of nephritic inadequacy varies from less than 10 % to 48 % in patients followed for more than 1 twelvemonth. ( 27 ) The present survey is in conformity with this consequence as nephritic inadequacy was seen in 18.8 % of instances. Bartosik et Al. ( 28 ) proved that the clinical parametric quantities, such as high blood pressure and badness of albuminuria appear to be stronger predictive indexs than histological findings. Furthermore, Van Der Peer et Al. ( 29 ) found that those with more high blood pressure, more albuminurias, and more pronounced histologic findings deteriorate their nephritic map more during follow up. Other survey showed that females and younger patients were found to hold a better forecast. ( 30 ) In the present work, impairment of nephritic map during the follow up period was more important in presence of high blood pressure, nephritic damage, and macroscopic haematuria at clip of biopsy whereas, the showing degree of albuminuria, age, gender, and Hass categorization have a non important consequence on the impairment of kidney maps. In decision, the incidence of IgAN in Kuwait is 9.2 % . A multicenter survey should be conducted to observe the exact incidence. About 18.8 % of instances deteriorate their nephritic maps during the survey period but a longer follow up is needed.

Sunday, January 5, 2020

Ethical Issues in Health - 2073 Words

Ethical Issues in Health Abortion Abortion is one of the most polarising moral issues in today’s society. It presents an ethical dilemma for many people and especially all healthcare professionals involved. Firstly, this essay will begin by briefly outlining the highly controversial issue of abortion, discuss why this topic draws fierce debate, for and against, and explain the current legal standing in the UK today. It will then move on to explain how different ethical models can be used in relation to ethical dilemmas, in particular Thiroux’s Five Principles of Ethic’s. Using this model to discuss how each principle individually applies to this contested issue it will then conclude by summarising and highlighting the main conflicts†¦show more content†¦When implementing this model within the topic of abortion the first and, for some, the uppermost principle of the value of life creates possibly one of the most relevant debates surrounding this issue. The organisation Pro-Life state that absolute respect for human life is the keystone of justice and the right to life is the most important right from which all others flow. The movement argues that even non-viable, undeveloped human life, is sacred and must be protected. Pro-Life members are diverse in economic status, race, religion, and education. They are unified by the concept that all humans, especially the innocent unborn, have an inherent right to life. One of the main reasons against abortion given by Pro-Life advocates is that life begins at conception and that, by terminating the pregnancy, causes the foetus to die. They point out that during the first 8 weeks of pregnancy, when most abortions take place, a baby develops a heartbeat and elementary brain activity. It is believed that, by terminating a pregnancy, this seriously violates the human rights of the foetus and discriminates the fundamental principle of the value and right of life. This termination results in the foetus becoming a ‘silentâ₠¬â„¢ victim of murder (www.prolife.org.uk). Many people and particularly those from religious backgrounds believe that nobody has the right to kill or take a life that god has created. Others argue that ifShow MoreRelatedEthical Issues Of Health Care954 Words   |  4 PagesIntroduction: It is quiet common in health care profession that there is always clash between a patient’s family and health care personnel. It has been observed that few patients inevitably suffer from the consequences, that they made during the course of their care or when they are hospitalized. Many people, who need surgical procedure or diagnostic tests, are compelled to wait months, or in worst cases for few years. This are few examples of some ethical issues that a patients and their near oneRead MoreEthical Issues Of Health Care1104 Words   |  5 PagesEthical Issues in Health Care There are more ethical issues in health care then you could imagine, I will introduce three of such issues here in this paper. For starters â€Å"Making Basic Health Care Accessible,† today in our society there are many Americans that still lack basic health care. Most travel miles to get proper care, and pay extra out-of-pocket to receive this care. Not only basic health care but durable medical equipment (DME) and radiologic testing. Most health care plans have a networkRead MoreEthical Health Care Issues1023 Words   |  5 PagesDementia and Ethical Issues HCS-545 April 09, 2012 Cheryl Bly Dementia Ethical Issues Growing old and losing the ability to function independently is inevitable.   Aging is a part of life.   As adults grow old, they need increased assistance with daily living skills.   The elderly may need assistance with finances, cooking, washing clothes, and cleaning.   However, many Americans are not only aging but also acquiring dementia.   In a recent study from the funded by the NationalRead MoreEthical Health Care Issues Paper1469 Words   |  6 PagesEthical Health Care Issues Paper Angie Torres HCS/545 May 06, 2013 Mr. Charles J. Barron, MHA Ethical Health Care Issues Paper Health care staff governed to perform their professional duties based on the practice acts from the professional licensing boards under the statutes of the states. The professional duties include the balance between competency in skills, and application of ethics that will help promote the provision of the quality of care to the public (Harris, 2008). However, thereRead MoreEthical Issues Of Health Care Marketing936 Words   |  4 PagesEthical Issues in Health Care Marketing In today’s competitive world, in order for any organization to succeed it requires the most fundamental aspect of marketing, which is to focus on their consumers (Berkowitz, 2011). As the marketing and technological development continues to keep expanding, as an outcome various health care organizations also need to be more adaptable to suffice the growing needs and demands of their consumers. Furthermore, there is a downside for the advancement in health careRead MoreEthical Issues Of Health Care Marketing1034 Words   |  5 PagesEthical Issues in Health Care Marketing Marketers in health care face many challenges in today’s market place. Therefore, competitive edge and gaining market share is key to an organizations success. False or deceptive representation in advertising is illegal under both federal and state law. The deception need not be intentional for the advertisement to be deemed misleading. For this reason, organizations must provide marketing materials in a truthful and non-misleading advertising approachRead MoreEthical Issues in Mental Health Nursing2624 Words   |  11 PagesAccountability Analysis of a dilemma in practice â€Å"Sally and the Health Visitor† Dip HE Mental Health Nursing Word count: 1,957. Contents page Introduction | 1 | Autonomy | 1 | Beneficence | 3 | Nonmaleficence | 4 | Justice | 4 | Conclusion | 5 | Bibliography | 6 | Introduction This discussion paper will look at the ethical issues surrounding decision making as nurses, in a given scenario (Sally and the health visitor). Ethics is defined by Johnstone (2008) as â€Å"A way to thinkRead MoreEthical Issues of Health Care Essay2075 Words   |  9 PagesEthical issues in health care PHI 111:71 Tuesdays 5:25-7:55 Dr. Aronson November 2, 2008 Word Count: 1,993 An Ironic Reversal of Professional Perspective in Medical Ethics An Ironic Reversal of Professional Perspective in Medical Ethics The movie â€Å"The Doctor† captures the shortcomings of a mechanized health care industry. Dr. Jack McKee is a gifted, however, arrogant, and self centered surgeon who cares little about the emotional welfare of his patients; treating them with a callousRead MoreEthical Issues Of The Health Care Industry993 Words   |  4 PagesThere are many ethical cases going on in the health care industry. There have been doctors who give their patients false diagnosis just to be able and get more profit for themselves. Instead of caring and help treat their patients for the right reasons, they’re giving unnecessary treatments that can cause harm to lives. A 49 year old oncologist in Detroit Michigan named Farid Fata pleaded guilty to a fraud scheme that involved diagnosing patients with cancer when in reality they did not have theRead MoreEthical Issues Facing The Health Care Profession1027 Words   |  5 Pages Ethical Issues Ethical issues are â€Å"moral challenges† facing the health care profession (Stanhope Lancaster, 2012, p. 127). Ethical issues are major concern in the healthcare field because healthcare providers observe ethical issues every day and have to make ethical decisions. A great example in the medical field is advance directives these documents are written to address individual’s medical preferences. These documents usually take effect when patients are no longer able to make informed