Sunday, May 24, 2020

Comparison Of Chimamanda s Ted Talk On How Dangerous And...

Chimamanda’s Ted Talk focused on how dangerous and powerful a single story is. By focusing on one viewpoint upon various subjects, other stories are ignored. She mentioned how her mother only told her about their house boy coming from a poor family so her viewpoint of that houseboy was based on poverty and nothing else. She was unable to see that he may have had skills, and that people in poverty stricken areas generally do have some form of skills, however little attention is given to them nor do they normally have resources that can help sharpen/put a spotlight on them. Politically this relates to historically repressed facts and mis-told/whitewashed history of various countries formation stories, and their people. Particularly following the legacy of colonization and racism/colorism, stereotypes have held power with negative repercussions for some and privileges for others across the world. Such as how mainstream society constantly paints Whites as heroes, God’s chos en people, innocence and the most intellectual race out of all humans. As being darker serves as their opposite and in a negative way, which helps to reinforce white supremacy narratives because white supremacy wouldn’t exist if a need for black to be negative wasn’t created. Blacks are painted as slaves, lazy, inferior, weak, and individuals with something inherently wrong psychologically. Today the media promotes such bias viewpoints of Blacks with the focus on/the phrase â€Å"black on black crime† in America,

Monday, May 18, 2020

Watergate. Glenn L. Venner. Cincinnati State Community

Watergate Glenn L. Venner Cincinnati State Community College. After the November shooting of president Kennedy, the nation and the world mourned. While we mourned another part of our country was raising up for right and the south would be flung into a racial war. the war in Vietnam would be a lost cause and an embarrassment for LBJ. It would all end with the embarrassment and the trust lost in our politicians and our president. This will come to haunt us even today and be known as the Watergate scandal. On the morning of June 17, 1972, several men were arrested in connection with the burglary inside the office of the Democratic National Committee located near the Watergate building in Washington, D.C. The robbery was in†¦show more content†¦The FBI and the American public need to know just what had happened and that this may not have been just a typical break-in but a cover up to protect someone. And if so was it an abuse of presidential power and a deliberate obstruction of justice. Meanwhile, at the same time seven conspirators were indicted on charges related to the Watergate building break-in. At the instruction of the President’s aides, five pleaded guilty to the charges and avoided trial; while White House counsel John Dean, testified before a grand jury about the president’s crimes. The other two were convicted in January 1973 for the break-in. By this time, a number of people including Washington Post reporters Bob Woodward and Carl Bernstein, and tria l judge John J. Sirica and members of a Senate investigating committee had begun to think that something bigger was going to break soon. The break though came when they found out that the President had secretly taped every conversation that took place in the Oval Office. If the investigating committee could get those tapes, they would have proof of the president’s guilt. Nixon worked very hard to keep those tapes away from anyone his legal staff advised him that he did not have to hand them over that he had executive privilege to protect them and to not give them to anyone. However, Senate committee and the independent special prosecutor Archibald Cox

Thursday, May 14, 2020

Medical Terminology Essay - 1296 Words

In my paper I will be discussing what medical terminology is, where it came from, and how it is applied to medical assistant careers as well as how it is applied to medical administration careers. I will give examples of the importance of medical terminology and specific examples of where medical careers use medical terminology on a day to day basis. I will also give a brief summary and definition of what medical terminology stands for. After reading my paper you should have a good concept of medical terminology’s importance, use, and why medical terminology is not just applied to medical assisting jobs but also why it is important for medical administration employees to also be familiar and have a good grasp on medical terminology.†¦show more content†¦Decoding is very important because then it becomes easier to understand medical terminology. You should first break down the word by evaluating the meaning of the suffix, then prefix, and then the word root. This will in able a worker to identify what it is that is going on and be able to describe it to their patient and to the doctor or physician when asked. But first the worker needs to have a good sense of the origin of words which is called etymology. (Theirer Breitbard, 2007, p. 1-4)Once you have the basic rules down you should be able to put words together and take them apart by decoding them. You also need to make sure that the spelling and pronunciation are correct because if a medical term is used incorrectly, it can become very dangerous and sometimes life threatening because you diagnose wrong procedures and medication. It creates a communication for health care professionals to make sure that a patient is treated with the highest amount of service and to ensure that they are being treated with the right medication. Decoding is essential but the father of medicine also wrote the Hippocratic Oath. In this Oath physicians are meant to promise to practice medicine the right way. To make sure their pronunciation and spelling was always accurate and correct. The Oath has been in use for over two thousand years and physicians and doctors are to follow the Oath to the bestShow MoreRelatedThe Origans of Medical Terminology Essay3156 Words   |  13 PagesThe Language origins of medical terminology Christy Hajdaj Ms. Fobear Medical Terminology (ME 1110) March 23, 2009 Medical terminology has a long and rich history that evolved in great measure from the Latin and Greek languages. â€Å"It is estimated that about three-fourths of our medical terminology is of Greek origin.†(Banay) â€Å"Latin accounts for the majority of root words in the English language.† (Fallon). We find that the â€Å"oldest written sources of western medicine are The HippocraticRead MoreThe Integumentary System with Medical Terminology1520 Words   |  7 Pageslooking at the color of the nails. 1Nail diseases are in a separate category from diseases of the skin. Although nails are a skin appendage, they have their own signs and symptoms which may relate to other medical conditions. Nail conditions that show signs of infection or inflammation require medical assistance and cannot be treated at a beauty parlor. Deformity or disease of the nails may be referred to as onychosis. Onychocryptosis, commonly known as ingrown nails (unguis incarnatus), can affectRead MoreThe Use Of Medical Terminology Among Nurses1277 Words   |  6 Pagesdo are the working units of any medical establishment. The field of nursing is a unique occupation, a mixture of the medical and hospitality fields. A nurse must be well equipped to perform medical care while also comforting their patients. To accomplish this feat, a specialized language has been developed consisting of medical terminology, extensive documentation, and body language. With such a large amount of complicated information being transferred in medical occupations, naturally, there areRead MoreThe Use Of Medical Terminology Among Nurses1658 Words   |  7 Pagesdo are the working units of any medical establishment. The field of nursing is a unique occupation, a mixture of the medical and hospitality fields. A nurse must be well equipped to perform medical care while also comforting their patients. To accomplish this feat, a specialized language has been developed consisting of medical terminology, extensive documentation, and body language. With such a large amount of complicated information being transferred in medical occupations, naturally, there areRead MoreClassic Interactions Between Patients And Doctors1325 Words   |  6 PagesClassic interactions between patients and doctors rely heavily on medical c ompetence. The doctor, the supposed superior in the arrangement, acts as a symbol for scientific proficiency while the patient exists as a sponge. While extensive knowledge is nonnegotiable in the field, empathy is a key component in ensuring proper diagnoses and sustaining healthy, impartial interactions. Margaret Edson s play W;t employs dialogue and discontinuous juxtaposition in order to draw attention to the inevitableRead MoreCause And Effect Of Symbicort1522 Words   |  7 Pagesto your medication. Part II: The use of medical terminology is incorporated into everyday interactions and interpersonal communications in some form. Today’s society is faced with different medical diseases and complications that lead to a decrease in life’s quality. With the ever growing issue of declining health statuses, biology and medicine are a relevant subject for almost everyone that is aware of of these particular issues. Medical terminology has become a vehicle for most individuals toRead MoreHS111_Unit4_Template1027 Words   |  5 Pagesof a medical term. Please list them in the chart below under the heading â€Å"Medical Terminology Error.† After you have listed the errors, you will need to identify the correct term or abbreviation. Please list them in the chart below under the heading â€Å"Correct Term.† Complete the title page and at the end of the project, be sure to list all applicable references and cite them in APA format. Unit 4 Assignment Type your name here Kaplan University HS111-__ (section #) Medical TerminologyRead MoreHS111 Unit4 Template C1058 Words   |  5 Pagesmisuse of a medical term. Please list them in the chart below under the heading â€Å"Medical Terminology Error.† After you have listed the errors, you will need to identify the correct term or abbreviation. Please list them in the chart below under the heading â€Å"Correct Term.† Complete the title page and at the end of the project, be sure to list all applicable references and cite them in APA format. Unit 4 Assignment Chelsy Davis Kaplan University HS111-_ (section 4) Medical TerminologyRead MoreEssay on Hs111 Unit 4 Assignment1121 Words   |  5 Pagesmisuse of a medical term. Please list them in the chart below under the heading â€Å"Medical Terminology Error.† After you have listed the errors, you will need to identify the correct term or abbreviation. Please list them in the chart below under the heading â€Å"Correct Term.† Complete the title page and at the end of the project, be sure to list all applicable references and cite them in APA format. | Unit 4 Assignment kali spurling-tober Kaplan University HS111- 4 (section #) Medical Terminology Read MoreReasons For The For A Doctor s Work1027 Words   |  5 Pagesterm can be used both by specialists of the sphere this term belongs to and those who are not. Therefore, there is a reason to give different definitions of terms depending on who requires it. For instance, when a doctor needs to determine a certain medical term, it is obvious that such definition should be extensive and contain all the information needed for the doctor’s work. In the same time, a simple person who has no any relation to medicine might also need to know the definition of that term. However

Wednesday, May 6, 2020

Labor Unions And The Industrial Revolution - 1582 Words

The topic of Labor Unions has been the focus of many political debates in recent years, with these discussions having people advocate for and against the unions. Labor Unions are an organization that represent a collective group of employees to protect and further theirs rights and interests. Labor Unions were first introduced in the eighteenth century with increasing numbers around the United States and the world, but unfortunately during the past decade these numbers have drastically decreased, resulting in less education and achievement of solidarity among employees. Solidarity is the unity or agreement of feeling or action, especially among individuals with a common interest. Workers in the United States would benefit more through†¦show more content†¦Work place benefits that are offered are higher wages, safe working conditions, and job security. The negotiation of better pay and terms of termination are two of the main goals of labor unions for their members. The perso nal benefits received by members are paid vacations and holidays, fair working schedules, advance training, and unemployment for those when facing a strike. Strikes began occurring in the eighteen hundred and although being rare they are still occurring today. Employees receive health care benefits of medical, vision, and dental insurances as well as coverage of prescriptions. When the time comes for retirement unions offer pension, 401K, and continued health care during retirement. Not only are there advantages for the employees, but also for the employers. Not only are there benefits for employees, but the employers themselves receive many advantages as well. The best benefits that employers receive is employee satisfaction. When being a part of a union needs and wants are met allowing people to become more satisfied with their job, with that satisfaction employees will be more willing to work harder for you. Not only will employees be willing to work harder for you, but you will also have less people leave their jobs or the ability to lose their say and position in the organization. With less turnovers of employees as aShow MoreRelatedLabor Unions And The Industrial Revolution1234 Words   |  5 PagesThe Labor Movement was necessary to protect the common interest of workers. The state of working environments during the Industrial Revolution produced a mandate for this movement. The Industrial Revolution served as a turning point for all western nations because of the influx of businesses and factories. America generally benefited from the revolution; however, it was at the expense of the workers. Industries were only interested in profit so workers were generally underpaid, worked long hoursRead MoreEssay about Industrial Revolution Led to Labor Unions520 Words   |  3 PagesAs America became more industrial more people left their farms and small towns to work in the city so they could pay their expenses, whatever they may be. This led to the minimal pa y of workers while the owners became wealthy leading to a functional economy. Most would receive little money while the rest lived a life of luxury. Since more factories were opening children, women, and immigrants could now find jobs, which led to more production which gave more money to the owners of the factories. AmericansRead MoreIndustrial Revolution : Impact On Society1092 Words   |  5 PagesIndustrial Revolution: Impact on Society Chernyka Love HIST112 Professor Adam Howard American Military University 15 March 2015 The Industrial Revolution is a term used to describe a period characterized by a transition from old to new processes of manufacturing. This period occurred during the 18th and 19th century. The transition was seen to include movement from primitive hand production to the same type of production using faster more efficient means by use of machines. The era also featuredRead MoreThe Industrial Revolution Of The United States1388 Words   |  6 Pagesissue. The Industrial Revolution brought about tremendous significant, and extensive changes. Also its impact keeps on sweeping through individual lives today. In the last two centuries of the industrialization has changed the way we live more than any other incident in the past thousand years. The Industrial Revolution gave the nations that initially received it with the mechanical and financial preferences important to ultimately govern the majority of the world. Basically, the Industrial RevolutionRead MoreHow Did Labor Change After The American Revolution?1626 Words   |  7 PagesHow did labor change after the American Revolution? THINK ABOUT: How did technology impact the older, artisan labor system, slave labor and industrial labor to 1877? What ideologies were in conflict over â€Å"free labor†? How did gender and regionalism impact attitudes toward labor in American society? The American Revolution was not the only revolution to take place in America. The Industrial revolution was happening all across America in the times leading up to the Civil War. The Industrial RevolutionRead MoreIndustrial Revolution : A Time Of Economic Success888 Words   |  4 PagesAlthough the Industrial Revolution is widely referred as a time of economic success, and very often benefited the rich. The Industrial Revolution occurred during the eighteenth century and was a time of innovation, but it is clear that present time has made several improvements, especially in working conditions. The working conditions were harsh and unlike the working conditions of present time child labor was very prevalent in the period of the Industrial Revolution, in addition to this there wereRead MoreIndustrialization Of The Second Industrial Revolution1390 Words   |  6 PagesThe Second Industrial Revolution, which reached its peak during 1870 to 1914, marked a significant turning point in American history. Before this era of progression and industrial excellence, America was on the verge of expansion like never before. From the vast amounts of land gained through the Annexation of Texas in 1845, the British retreating from Oregon in 1846, and the Mexican cession of Southwest territory guaranteed by the treaty of Guadalupe-Hidalgo of 1848, (Engelman) America was ableRead MoreSocoial Class Division During the Industrial Revolution1234 Words   |  5 Pagesthe Industrial Revolution The Industrial Revolution was a time throughout the 18th and 19th centuries in which primarily agriculture based societies in the countries of America and Europe began to implicate industrialized and urban practices. Many rituals that would usually be done at the home of landowners using animal or manpower, was now being moved into factories and being done with mechanically engineered machinery. While there were many radical social changes made during the revolution, itRead MoreThe rise and fall of Labor Unions1545 Words   |  7 Pagesï » ¿Kevin Campusano Class Prof. 30 November 2014 The rise and fall of labor unions Labor union is an organized association of workers, in a trade or profession, formed to protect and further their rights and interests. During the industrial revolution in Europe there was a rise in new workers without representation in the workplace. In the 19th century the industrial revolution spread to the United States from Europe, this resulted in the economy shifting to manufacturing from agriculture as an economicRead MoreThe Patriot s History Of The United States1589 Words   |  7 PagesAfter the Civil War, the United State began to experience an industrial growth that was unparalleled to any nation. There were new advancements among America’s transportation, manufacturing and agriculture industries. While an economic growth was occurring in the nation, the national government was inactive, almost forgotten between all the new innovations achieved during the late 19th century. Looking back at the Industrial Revolution, there are many perspectives of the events that occurred during

We Must Obey And Obey Authority - 1184 Words

We as a society conform to the idea that it is always necessary to obey authority. This is such a normalized function of everyday life, that it has resulted in us losing sight of our own moral convictions. Not every act of this expected obedience is conscious. We have fell into the habit of obeying first and asking questions later. Even worse than that, we have developed a more destructive habit of not questioning authority at all. Our moral judgements have became clouded by our understanding of authority as well as the desire and expectation to conform with others opinions and actions. From a very young ages we are taught not to question authority. It is instilled in our heads as children that authority figures are always right and that†¦show more content†¦Another concept of how children are taught authority is proposed by Professor Marta Laupa. Her research of the development mental psychology has lead her to believe that childrens ideas and understanding of obedience do not come from reward and punishment, but from early understanding of social organization and status (Laupa 333). Social status and the concept of reward and punishment all greatly influence our first understandings of what it means and why we obey authority. Both of these influences affect our ability to recognizing authority as an abusive power as children and continues into later adulthood. When taught not to question authority and to see others as superior to you because of age or position, this instills in our minds that authority figures commit no wrongful acts. Our minds are programmed not to question authority as children, and when taught to see others as superior in power to you because of age and position, we no longer think to question our own moral convictions, but insteads trust the moral judgements of our superior figures. This results in authority more often than not taking advantage of their power and asking their followers to participate in acts that go against their own moral beliefs. An extreme example of this is how terrorist organizations follow their leaders, yet we see their acts as wrong, because they have such a high standard of respect, trust, or even fear in their leader they see nothing wrong in their actions. We grow up in a

The Risk of Sexually Transmitted Infection AIDS †Free Samples

Question: Discuss about the Risk of Sexually Transmitted Infection AIDS. Answer: Introduction Sexually transmitted diseases are infectious diseases that are passed on from one person to another through sexual contact via blood, semen or vaginal fluid. Examples include gonorrhea, syphilis and AIDS. The risk of sexually transmitted infection (STIs) among men who have sex with men (MSM) is higher than in males who have sex with women. Men who have sex with men and women are at a greater risk of getting infected with STIs than the MSM. A common STI that afflicts people with multiple partners is gonorrhoeae. Gonorrhea is caused by the bacterium Neisseria gonorrhoeae. The infection is usually asymptomatic and may cause urethritis, pharyngitis, cervicitis, salpingitis or proctitis (CDC, 2014). Men and women can get affected with this infectious disease. The infection makes people susceptible to infection due to transmission of HIV, so it is important that patients seek timely treatment and safeguard themselves from AIDS. It has been observed that gonorrhoeae infection can be evidenc ed in extragenital regions of the body that can be detected after a rectal or oropharyngeal diagnosis (Lutz, 2015). So, screening in asymptomatic MSM is recommended for detection of gonorrhoeae and appropriate therapy should be started even if there is no presence of gonorrhoeae infection in the urogenital region. A study has reported 0.2 to 24% cases of rectal gonorrhoeae among MSM and a 0.5 to 16.5% prevalence of pharyngeal gonorrhoeae(Chan, et al., 2016). The problem of gonorrhoeae infections is therefore a serious public health problem and the propensity of people in same sex relationships increases when they have multiple partners. In case of MSMW, the transmission of the infection to and from female partners results in higher risk of transmission. Belonging to the (lesbian, gay, bisexual and transgender) LGBT community makes the patients difficult to access healthcare than the heterosexual individuals in any population. The social and sexual stigma associated with this community makes it very likely for them to experience healthcare disparities. Compared to the heterosexuals the LGBT are discredited due to their sexual orientation and may even be denigrated by the society. Health professionals are known to show positive approach when dealing with patients from LGBT community but there are cases where negative experiences mar the treatment process. Much of this misled attitude is because the curricula at medical schools do not teach content related to specific health issues that affect the gay community (Brennan, Barnsteiner, Siantz, Cotter, Everett, 2011). This makes the healthcare providers uncomfortable when dealing with issues that are specific to the care that the LGBT patients require. Many of them display homophobic att itudes and do not have knowledge about specific health issues that the LGBT patients face. This means that the training is deficient in making health professionals culturally competent when dealing with developmental health problems faced by homosexuals across their life spans. Often lack of exposure to issues faced by the LGBT community, nursing or medical staff is ill-equipped to address the medical needs. Lack of sensitivity also affects the patients because in the absence of empathy they feel discouraged to share their illness related issues with healthcare personnel. STIs are even less understood and staff may fail to advise patients about safe practices and to reduce risky behaviour. Prevention of STIs is a public health priority. Risky behaviour by MSM contributes to the growing risk of infection with HIV, syphilis, gonorrhoeae and other diseases. Behavioural interventions can reduce the risk of STIs in men who have sex with men. Multiple anonymous partners increase the risk of gonorrhoeae and other STIs. Substance abuse through use of crystal methamphetamine taken for improving sexual performance also increases risk. Gonococcal rates in rectum have increased among MSM in cases where they are already infected with HIV. This makes it important for the healthcare professionals to take an accurate history about the patient's history about multiple partners and confirmation about repeated use of crystal methamphetamine. Insertive oral sex is an additional risk for suffering from pharyngeal gonorrhoeae (at a rate of 7%) and urethral gonorrhoeae. Rectal gonorrhoeae has been diagnosed in 5.4% of the cases. MSM with a prior diagnosis of HIV have a greater likelihood of being diagnosed with asymptomatic gonorrhoeae than those who have not tested positive for HIV. Screening the MSM for gonorrhoeae may reduce risky behaviour. Precautionary approach involves nucleic acid amplification testing of men who report insertive intercourse during the past one year for urethral infection of Neisseria gonorrhoeae. A nucleic acid amplification test for rectal infection may be done in individuals for Neisseria gonorrhoeae if they report receptive anal intercourse during the past year. Pharyngeal specimen tests to check for infection with Neisseria gonorrhoeae are required in case where oral intercourse is reported by the patient (Workowski, 2015)In case of women who have sex with women (WSW) may also indulge in risky behaviour that makes them prone to acquire sexually transmitted infections (Trebach, Chaulk, Page, Tuddenham, Ghanem, 2015). The very nature of the required tests and the kind of trust between the doctor and patient requires that the patient be treated with sufficient understanding so that disclosures of a private nature are made by the patient. Display of even a small hint of discomfort or differential treatment might be understood by the patient as hostility. Due to the social and sexual stigma attached to their sexual orientation many people from the LGBT community hesitate in accessing healthcare. Many among the MSM have had a history of STIs, due to a large number of anonymous partners, a childhood history of sexual abuse, associated psychological problems and a history of substance abuse. As a result many people from the LGBT community face social exclusion and exhibit symptoms of anxiety and depression. The use of drugs increases their propensity to indulge in risky behaviour and unsafe sex. Many among the community have complained of having been victims of forced sex by their most recent partners. This possibility is much higher than that in the heterosexual population. There is now also an understanding that it is not because of lack of awareness that gay men get involved in risky behaviour but it is due to psychological reasons (O'Leary, 2014). Role of various stakeholders can contribute to prevent gonorrhoeae among the LGBT The sensitization of the medical professionals towards the LGBT patients, their psychology and their need to be understood should be part of the curriculum. Lack of prior exposure to the LGBT patients during practice should not make them uncomfortable when dealing with them. The fact that there is a stigma against the LGBT should not hamper their treatment. Several steps have been suggested to include LGBT content during nursing education so that comprehensive healthcare can be delivered to them. Teaching and learning of relevant courses can be enhanced through simulation and incorporation of case studies. Agencies that serve the interests of the LGBT community and understand their issues can be partnered with. Students should be able to interact with patients from sexually diverse backgrounds. It has been suggested that the nursing curriculum should be infused with content relevant to the LGBT. Even material such as films and documentaries on the LGBT can be utilized in the classroo m for proper introduction to issues faced by the LGBT in the healthcare system (Fidelindo, Kim, Min, 2014). New and updated methods of diagnosis are required for the LGBT population when suspected of gonorrhoeae. The Centre for Disease Control recommends the use of Nucleic acid amplification test (NAAT) for the diagnosis of Neisseria gonorrhoeae infections rather than the culture test because of better sensitivity. However culture tests are important when checking for antibiotic sensitivity. The test allows for better testing of the extragenital testing for the presence of Neisseria gonorrhoeae infections(Barbee, Dombrowski, Kerani, Golden, 2014). Messages of prevention through messages targeted at MSM who are not yet identified as gay may respond positively to messages that promote safe sex and less risky behaviour. The altered behaviour may lead to lead to less transmission of STIs (Johnson, et al., 2008). Gonorrhoeae among women if left untreated can cause pelvic inflammatory disease. Research on the health aspects that pertain to the LGBT is not very common. Very few papers on the subject of gonorrhoeae in the LGBT community are available. In the absence of sufficient research on the subject the understanding of the difficulties by this sub-population will be less. Policy makers depend on social activists backed by scientific research to be able to frame policy that can alleviate problems and difficulties faced by the LGBT in the healthcare system. So, more research in the area is required. Gay men and transgender individuals are more likely to suffer from STIs. Most health disparities faced by them are due to homophobia and stigma that lead to discrimination against them(Fidelindo Nathan, 2011). Patients from sexual and gender minorities re at a disadvantage because often physicians treating them lack the specific knowledge about health issues that are specific to them. Training of physicians in non-discriminatory approach while treating the sexual minorities is important (Jabson, Mitchell, Doty, 2016). As many as 27% patients from the LGBT have reported that physicians were prejudiced against them, while 2% patients felt that the hostility was rather open. 21% patients have reported that the physician was non-supportive on learning that they were either gay or lesbian. In fact up to 30% physicians have been found to be homophobic (Lee, et al., 2008). Given such a homophobic environment in the health industry it is difficult for the people from the LGBT decide whether they should disclose their identity or not. In the absence of disclosure the specific health problems, particularly with respect to STIs cannot be treated effectively. Apart from the social, medical difficulties and unique association of gonorrhoeae with the LGBT community, there is another problem that is raising its head, that of multidrug resistant Neisseria gonorrhoeae. To counter the menace of the public health concern posed by this organism, it is important to understand that the high usage of known antimicrobials, less than optimum monitoring of the antibiotic resistance the gonococcal infections may become more difficult to treat. The understanding of how the mechanism of resistance has evolved may pave the path for the discovery of novel antibiotics against this pathogen (Unemoa Shafer, 2014). Conclusion The prevalence of gonococcal disease among the LGBT community has become a public health challenge due to several factors. The risky behaviour associated with MSM wherein multiple partners, promiscuity and exposure to the pathogens causes the disease in many of the men in the sexually active age-group. The asymptomatic infection may cause urethritis, pharyngitis, cervicitis, salpingitis or proctitis and is usually diagnosed by culture tests of swabs of affected area or by nucleic acid amplification test on samples from the affected parts. In women, the propensity for the disease is there among the lesbian women. The social and sexual attached to the people from the sexual minorities makes it difficult for them to access treatment. Nursing staff and physicians may be homophobic and at times lack in training to be able to understand the problems specific to the LGBT because of deficient curricula. The nature of the disease makes it imperative that there be a relationship of trust betwe en the doctor and the patient, Failing which the patient may not return for follow-up treatment if made to feel uncomfortable during the process of treatment and diagnosis. Several people from the LGBT community have been abused as children and thus resort to risky behaviour as adults. Research activity in the area of gonococcal treatment specifically for the LGBT is less. Therefore a lot of gaps remain in understanding of how to deal with the issue of STIs among this target population. The treatment of gonorrhoeae has also become a challenge due to the development of antibiotic resistance. Very few antibiotics are now effective against the pathogen. The mechanism of resistance when understood will provide clues for development of new therapy. Treatment will require understanding that envelops all aspects of disease transmission. References Barbee, L., Dombrowski, J., Kerani, R., Golden, M. (2014). Effect of Nucleic Acid Amplification Testing on Detection of Extragenital Gonorrhea and Chlamydial Infections in Men Who Have Sex With Men Sexually Transmitted Disease Clinic Patients. Sexually Tramitted Diseases, 41 (3), 168-172. Brennan, A., Barnsteiner, J., Siantz, M., Cotter, V., Everett, J. (2011). Lesbian, gay, bisexual, transgendered, or intersexed content for nursing curricula. Journal of Professional Nursing, 28(2):96-104. CDC. (2014). casedefinitions-2014.pdf. Retrieved from https://www.cdc.gov: https://www.cdc.gov/std/stats/casedefinitions-2014.pdf Chan, P., Robinette, A., Montgomery, M., Almonte, A., Cu-Uvin, S., Lonks, J., . . . Hardy, E. (2016). Extragenital Infections Caused by Chlamydia trachomatis and Neisseria gonorrhoeae: A Review of the Literature. Infectious Diseses in Obstetrics and Gynaecology, 2016:5758387. Fidelindo, A. D., Kim, J., Min, S. (2014). Addressing Health Care Disparities in the Lesbian, Gay, Bisexual, and Transgender Population: A Review of Best Practices. American Journal of Nursing, 114(6):24-34. Fidelindo, L., Nathan, L. (2011). Lesbian, Gay, Bisexual, and Transgender Health. American Journal of Nursing, 111(11):11. Jabson, J., Mitchell, J., Doty, S. (2016). Associations between non-discrimination and training policies and physicians attitudes and knowledge about sexual and gender minority patients: a comparison of physicians from two hospitals. BMC Public Health, 16: 256 doi: 10.1186/s12889-016-2927-y. Johnson, W., Diaz, R., Flanders, W., Goodman, M., Hill, A., Holtgrave, D., . . . McClellan, W. (2008). Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. The Cochrane Database of Systematic Reviews, (3):CD001230. Lee, R., Melhado, T., Chacko, K., White, K., Huebschmann, A., Crane, L. (2008). The Dilemma of Disclosure: Patient Perspectives on Gay and Lesbian Providers. Journl of General Internal Medicine, 23(2): 142147. Lutz, A. (2015). Screening for Asymptomatic Extragenital Gonorrhea and Chlamydia in Men Who Have Sex with Men: Significance, Recommendations, and Options for Overcoming Barriers to Testing. LGBT Health, 2(1):27-34. O'Leary, D. (2014). The syndemic of AIDS and STDS among MSM. The Linacre Quarterly, 81(1): 1237. Trebach, J., Chaulk, C., Page, K., Tuddenham, S., Ghanem, K. (2015). Neisseria gonorrhoeae and Chlamydia trachomatis among women reporting extragenital exposures. Sexually Transmitted Diseases, 42(5):233-9. Unemoa, M., Shafer, W. (2014). Antimicrobial Resistance in Neisseria gonorrhoeae in the 21st Century: Past, Evolution, and Future. Clinical Microbiology Reviews, 27(3): 587613. Workowski, K. B. (2015). Sexually Transmitted Diseases Treatment Guidelines, 2015. Morbidity and Mortality Weekly Report, 64(RR3);1-137.

Tuesday, May 5, 2020

The Dead Butcher and His Fiend-Like Queen free essay sample

Malcolm is referring to Macbeth as the â€Å"dead butcher† and to Lady Macbeth as â€Å"his fiend-like queen. † A butcher in the use of this play is a person who kills showing no regret for their actions or reason for the killings. The fiend as Lady Macbeth is to say she is very evil and has no morals, able to bend other’s wills to equal her own giving them a confused air of what they really want. On the other hand to say Macbeth was always a butcher is an unfair evaluation of him, as it doesn’t reflect the views that the whole of Scotland had at the beginning of the play. Fiend is a brilliant way to describe Lady Macbeth as she is the one who initially introduced the feeling of evil into the play and into Macbeth leading him to commit the act of treason against God’s representative on Earth, King Duncan. To begin with Macbeth is a highly respected Thane of Glamis with a set life for his wife, Lady Macbeth and himself. He is referred to as â€Å"noble† and a â€Å"valiant soldier† not at all a butcher and would die in battle for his King. His noble acts then promote him to Thane of Cawdor. Following his well-deserved promotion Lady Macbeth had a letter delivered about Macbeth’s encounter with witches, their prophecies and his transfer to Thane of Cawdor. Lady Macbeth hatches a plan to ensure all of the witches prophecies become reality by getting rid of the one thing that stands in their way: King Duncan. However her plan is interrupted by Macbeth who is loyal to the King and refuses to be a part of the fiendish act. She knows he has ambition and it would be difficult for her to convince him to commit the act of treason, â€Å"yet do I fear thy nature; It is too full o’th’ milk of human kindness to catch the nearest way. Thou wouldst be great, art not without ambition, but without the illness should attend it. † Lady Macbeth’s fiend-like qualities have shown after Macbeth’s letter is received. She seems to show a strong hate towards the limitations of her sex. Being a woman traditionally holds feelings of sensitivity and being beautiful limits her from being capable of committing murder. In her famous soliloquy she says: â€Å"Come, you spirits that tend on mortal thoughts, unsex me here and fill me, from the crown to the toe, top-full of direst cruelty. † She wishes to be removed from her body to be able to commit the deed which cannot be done while she is a woman. Further in her soliloquy she says: â€Å"Make thick my blood, stood up th’ access and passage to remorse†¦Ã¢â‚¬  Not only does she want the limitations removed, but she also wishes for the guilt to end, an end to her remorse and emotions. This combination will enable her to become more of a butcher than Macbeth ever was. Throughout the whole play Lady Macbeth gives the definition to the term fiend. Macbeth again is seen to disprove the image of a butcher before Duncan’s murder as he reconsiders whether his actions will have any effect and whether he should continue or not. Macbeth says: â€Å"First, I am his kinsman and his subject- strong both against the deed†¦Ã¢â‚¬  and argues against the murder of Duncan, he doesn’t believe that it is right that he kills Duncan due to family and royal relations. Macbeth succeeds in persuading himself against the murder of Duncan, as shown when he says, â€Å"I have no spur to prick the sides of my intent, but only vaulting ambition, which o’erleaps itself and falls on the other†¦Ã¢â‚¬  He compares his inner ambition to the riding of a horse, but then he states the he has no reason to leap high off of his horse to kill the king because he knows he will eventually fall. Clearly no butcher would freeze and think over their actions before actually committing them, and a real butcher would never be able to stop themselves from doing the senseless act that is described as butchery. At this point in the play Lady Macbeth is shown to use her methods of persuasion on Macbeth himself. One of these is her knowing of his weaknesses and she uses this to her advantage to change his opinion again. She says: â€Å"To be the same in thine own act and valour as thou art in desire? Wouldst thou have that which thou esteem’st the ornament of life, and live a coward in thine own esteem†¦Ã¢â‚¬  In this single statement Lady Macbeth attacks Macbeth’s honour and bravery as well as his inner ambition. Macbeth is being told to act as he thinks and becoming cowardly for not doing it. The unlikeliness of Macbeth being called a coward before lets the comment gets under his skin and tries to prove to his wife that his courage is intact. However, Lady Macbeth’s intentions are not understood until she backs up her argument to why Duncan should be murdered: â€Å"I would, while it was smiling in my face, have plucked my nipple from his boneless gums and dashed the brains out, had I so sworn as you have done to this. † No human says but a fiend, what mother would intentionally hurt their child even if they had sworn to do it? Macbeth is not a butcher, and Lady Macbeth is not just a fiend. As shown, although Malcolm’s statement does describe certain aspects of the personalities it is a vague description of the whole extent of their characters. Macbeth is a brave and valiant man who had been turned to butchery by weakness and his desire to gain power, exploited by his wife. Fiendish is a more decent way to describe Lady Macbeth but it still lacks the ability to capture her true nature as disturbed and evil. It would be fair to say that the statement tries to create an overall evaluation of both characters in a single statement but in the process makes them seem less dramatic and complex than they actually are.