Supporting teaching and Learning Essay Example for Free

Supporting teaching and Learning Essay Summarise entitlement and provision for early years education 1.1 Local education authorities are funded by the government to ensure that every three and four year old child has access to free part-time education. Fill in the missing words and numbers in the following paragraph below: Every three and four year old child is entitled to early year’s education in an inspected setting which is found to be . The funding is available for hours a week for weeks of the year. Free places are available in a number of settings including: school nurseries, and private day nurseries. Explain the characteristics of the different types of schools in relation to educational stage(s) and school governance. 1.2 Explain the post-16 options for young people and adults 1.3 Patrick has left school at 16 with 5 GCSEs and is unsure about what to do next. He is interested in a career in physical education. What education and training options are available to him? Carry out independent research to see what options Patrick has. Patrick’s options Positive aspects Negative aspects 2.1 Within a school there are different people with various roles, all of which are necessary to ensure the smooth running of the school. Complete the table below to show the responsibilities of the school governors, senior management team, teachers, support staff and the SENCO (Special Educational Needs Co-ordinator) Job role Responsibilities School governors Volunteers who ensure the school provides a good quality education. Set the aims and policies of the school. Set the schools budget. Senior management team Teachers Support staff SENCO 2.2 As a teaching assistant you may be expected to work alongside many different educational professionals. Talk to your class teacher or SENCO about the various educational professionals who visit the school and what  they do. These may include speech therapists, child psychologists and other support workers who visit the school. Write an overview of what the educational professionals do in your school. 3.1 Each school will have a mission statement, ethos, aims and values. Describe the following terms: Ethos Mission Aims Values 3.2 Ask your school if you can have a copy of its mission statement. Alternatively, this information is often available on the school website. Think about how the ethos, mission statement, aims and values of a school may be reflected in your working practice while at the school. Fill out the table to show the different methods of communicating a school’s ethos, mission statement, aims and values and evaluate the differing methods. Ensure that you look at the advantages and disadvantages of each method. Methods of communicating Advantages Disadvantages

The Prevalence of Malaria in Northern Nigeria

The Prevalence of Malaria in Northern Nigeria Epidemiological Overview Generally, malaria is widespread throughout most of the tropics globally. However, according to Bradley (1992), the epidemiology of malaria has been characteristically varied across the globe because of malaria’s largely diverse vectorial capacity (p. 1). Out of the approximately 3.4 billion people who are globally prone to malaria infections annually, about 1.2 billion are at a higher risk. The World Health Organization (2013) reports that in 2012 alone more than 207 million people developed symptomatic malaria. Between 2000 and 2010, the figures released by the WHO report are, to some extent, encouraging as the number of reported annual malaria incidences in 34 malaria-eliminating countries decreased by 85 % from 1.5 million to 232, 000 cases (WHO, 2013). However, from the same report, the global malaria deaths reached a high of 1.82 million in 2004 and considerably fell to 1.24 million in 2010. Among the deaths reported in 2010 were 714,000 children below the age of 5 and 5 24,000 individuals above the age of 5. However, shockingly, the World Health Organization (2013) reports that over 80% of malaria deaths occur in the sub-Saharan Africa. Shockingly, the Nigeria Malaria Indictor Report (2012) reports that Nigeria and the Democratic Republic of Congo account for over 40% of the total malaria deaths globally. This revelation has led to several concerted efforts in the two leading countries aimed at addressing the prevalence of malaria. Malaria Situation in Northern Nigeria Nigeria is ranked as one of the most populous countries in Africa with a population of approximately 170 million according to the 2013 population statistics and an estimated annual growth rate of 2.6% (Malaria Operation Plan, 2013). The 2010 United Nations Development Program Human Development Index ranks Nigeria at position 142 out among 169 countries (WHO, 2013). The country has an estimated under-five mortality rate of 157 per 1000 live births and maternal mortality is estimated at 545 per 100,000 live births according to the 2008 Demographic and Health Survey (Okafor Oko-Ose, 2012). The southern part of Nigeria is significantly advantaged in almost all social and economic indicators. In this regards, both the child mortality and maternal mortality are relatively higher. For instance, Okafor Oko-Ose (2012) illustrate that the under-five mortality rates are about one and a half times higher while the maternal mortality rates are about three times higher as compared to some northe rn parts of Nigeria. Contrastingly, despite the high income attributed to the sales of crude oil, no significant improvement has been recorded and majority of the Nigerians, especially the Northerners live in abject poverty (Malaria Operation Plan, 2013). About 97% of the Nigerian population is at risk of Malaria infection with the majority being those living in Northern Nigeria according to a research conducted by the Nigeria Malaria Index Survey (2010). Specifically, research has found out that incidences of malaria transmissions account for over 60% of outpatient visits and 30% of inpatients in Nigerian healthcare institutions. Incidentally, malaria infection is a primary cause of children mortality and contributes to an estimated 225,000 cases of deaths annually (WHO, 2013). Malaria also contributes to an estimated 11% of maternal mortality and about 105 of low birth weight according to NMCP Strategic Plan 2009-2013. The geographic location of Nigeria makes the climate condition to be ideal for malaria transmission nearly throughout the country. In fact, the remaining 3% of the entire country’s population, who are relatively at a low chance of infection, actually live in the mountainous regions in the southern parts of Nigeria (Jos Plateau State) with an altitude of between 1,200 to 1,400 metres. A series of studies have been conducted to elucidate the effect of seasonal changes on epidemiological index of malaria transmission in Northern Nigeria. Undeniably, the climatic condition of Northern Nigeria is seasonal with rainy seasons in May-October, dry season in December-March and transitional period in April-November (Malaria Operation Plan, 2013). However, studies on the prevalence of malaria in Northern Nigeria have shown that malaria transmission has been predominant during the rainy season and lowest during the dry season. Gender Distribution and Prevalence of Malaria Transmission Generally, studies have shown that Plasmodium infections appear more common in the male than in the females in Northern Nigeria. For, example, a study conducted to ascertain malaria occurrences among children aged six months to eleven years in Benin City presented a shocking result. According to the findings of the research, malaria transmission from 2004 to 2009 in male averaged at 57 % while during the same period under review, the transmission in females was at an average of 43% (Okafor Oko-Ose, 2012). A similar research conducted in the Northern Nigeria’s Ebonyi and Edo States in 2004 made a similar conclusion. This prevalence has been attributed to the fact that males expose their bodies more than females especially when the weather is hot. In that regards, males are more likely to be bitten by mosquitoes. On the other hand, Okafor Oko-Ose (2012) explain that females tend to stay indoors, helping out with normal household chores. This significantly reduces their contact with the mosquito vector. Either, studies have shown that females have relatively better immunity to parasitic diseases due to their hormonal and genetic composition. Age Factor and Malaria Prevalence Based on age, studies have shown that children aged  ½ 2 years have the highest prevalence in malaria transmission (Okafor Oko-Ose, 2012). According to the research conducted in Benin City in Northern Nigeria among children aged  ½ to 11 years, it was realized that children aged  ½ -2 years recorded the highest prevalence of 58.6% followed by the age bracket 3 – 5 years at 30.5% and the least being age group 9-11 years at 2.9%. Basically, we can conclude that children under the age of 5 years are more prone to incidences of malaria transmission. In general, malaria transmission is in a declining trend. A finding carried out in 1999, for instance, in Erunmu in southwest Nigeria reported about 80% malaria parasite prevalence among school children. A similar research conducted in Benin City, according to Okafor Oko-Ose (2012) clearly showed this decline in prevalence. In 2004, the prevalence among children of  ½ 11 years was 47%. By 2009, the prevalence had dropped considerably to 32%. Through the period under consideration, the overall prevalence of malaria was reported at 36.4%. In a nutshell, this decline can be attributed to the effect of some preventive measures against malaria that has been adopted by the Nigerian Government. Health Determinants and their Influence on Malaria Prevalence Many factors combine together to affect the health of individuals and communities in a particular area. The Health Impact Assessment (2014) explains that the environment and the circumstances that people live in extensively determine whether people are healthy or not. To a larger extent, factors such as where an individual lives, the state of the environment, genetics, income, education level and our relationship with friends and families all have significant impact on health. However, on a more specific note, determinants of health include the social and economic environment, the physical environment and the individual’s characteristics and behaviors (The Health Impact Assessment, 2014). This paper will elucidate the impact of socio-economic environment and the physical environment on malaria transmission in Northern Nigeria based on both social economic environment and the physical environment. The Social and Economic Environment Malaria has predominantly been linked with poverty and the reduction of the propensity of malaria has become a major priority for the Nigerian Government for a long period of time. In particular, malaria is a leading cause of both child and maternal mortality and morbidity in Northern Nigeria that is relatively of a lower social and economic rating (WHO, 2013 and Nigeria Malaria Indicator Survey 2010). The economic burden of malaria illness on households accounts for almost 50% of total economic burden of illnesses in the Northern regions of Nigeria. Further, multiple studies have noted that individuals of lower social and economic status bear a disproportionate burden of the parasitic disease and have poor health seeking habits and at times lack necessary health facilities. Generally, research has shown that up to 58% of malaria transmission occurs in the poorest 20% of the world population who, incidentally, receives the worst care and has disastrous consequences from the illness ( WHO, 2013). More specifically, there is a heavy malaria burden on the poor than on the rich as demonstrated by recent studies in Northern Nigeria States and in the cities states. According to this research, individuals with an estimate income of less than N300 per day (earning less than a dollar per day) were less likely to perceive malaria as a preventable disease and subsequently recorded more incidences of malaria per month as compared to those who earned less than N300 per day (Yusuph, 2010). Arguably, the rural dwellers of the Northern Nigeria have a higher risk of infection than their counterpart urban residents. The current statistics indicate that between 6% 28% of the malaria burden may occur in urban areas which comprise only 2% of the entire African surface (Yusuph et al., 2010). There could be a relationship between this predominance to the socio-economic status of people living in both rural and poverty-ridden regions. Evidently, members of lower socio-economic societies live in environments that offer little or no protection against mosquitoes and they are also less likely to afford the insecticide-treated mosquito nets. Clearly, higher social and economic status groups and urban residents posses more malaria preventive tools and therefore, report few incidences of malaria. In addition, low socio-economic status groups are unlikely to pay either for effective malaria treatment or for transportation to a health facility capable of treating the scourge. The Physical Environment Geographically, malaria is transmitted due to the interaction between the malaria mosquito parasite and the human environments (The Health Impact Assessment, 2014). The geographical location of Northern Nigeria presents a key ingredient to the breeding and existence of the malaria-causative parasite. The Progress Impact Series Country Reports (2012) describes Nigeria’s climate as tropical climate with alternating wet and dry seasons throughout the year which is suitable for malaria transmission. Presence of mangrove swamps, the rain forest, the guinea-savannah, the Sudan-savannah and the Sahel-savanna that extends from the South to the North of Nigeria determine the intensity, seasonality and duration of malaria transmission. On the other hand, apart from the climatic condition, the Northern States of Nigeria have access to inadequate physical facilities, safe water, medical facilities and poor infrastructure that presents a daunting challenge to the prevention or treatment o f malaria infections. Prevention Strategy based on Social and Economic Status This paper has emphasized on the major public health challenges that high prevalence of malaria presents to the people of Northern Nigeria. The most biologically vulnerable group, as have been noted, are the children below the age of five and pregnant women, perhaps due to their comparatively lower immunity status (Mazumdar Guha, 2013). Basically, most of the malaria transmissions occur among the poverty ridden residents of the Northern Nigeria. Social and economic background has been distinctively demonstrated by this paper as a major health determinant in malaria transmission in the northern parts of Nigeria. With the highly perturbing statistical information on malaria transmissions and prevalence in Northern Nigeria, there is a need for an infective and inclusive preventive plan that addresses the most biologically vulnerable group and their social and economic factors that determines their health. Consequently, this papers outlines a four dimensional preventive strategy that is undoubtedly capable of containing the mortality and morbidity among children and expectant women. This preventive strategy summarily focus on management of transmission cases, prevention of malaria with insecticide-treated nets, indoor residual spraying to reduce transmission and finally the use of intermitted preventive treatment and the use of intermittent preventive treatment for pregnant women. Prompt Diagnosis and Treatment This strategy focuses on timely diagnosis and effective treatment of cases of malaria infections by use of relevant anti-malarial drugs. This strategy is aimed at ensuring that up to 80% of the population, mostly children below the age of 5 and the pregnant women, who are at risk of malaria take timely and necessary treatment at the initial stages of infection. Under this strategy, there is need for provision of free necessary anti- malarial drugs like Artmether-Lumefantrine (Mazumdar Guha, 2013). There is also a need for a home based care management system especially for the most vulnerable population, that is, children below the age of five. The complexity of this strategy requires a multidimensional approach and involvement by the public sector, the private sector and the faith based health facilities for effectiveness. Distribution of insecticide-treated nets (ITN) This strategy is intended to prevent malaria transmission to a larger population especially the most vulnerable children under the age of 5 and the pregnant women. Under this strategy, pregnant women and children under the age of five are to be provided with free insecticide treated mosquito nets. These nets should be provided to the expectant women when they attend their ante natal care services in designated health facilities. This scheme also proposes the use of relatively long lasting insecticide nets so as to address the social and economic challenges that bedevils most of the vulnerable groups. Indoor Residual Spraying The Indoor Residual Spraying (IRS) is geared towards curtailing the transmission of malaria in both the pregnant women and children under the age of five. This program requires entomological monitoring and proper management of insecticide resistance especially among the ignorant population that are characteristic of a low social economic majority. It also requires behavior change communication with the target population and technical assistance and training especially to the personnel in the indoor residential spraying exercise. Intermittent Preventive Treatment for Expectant Women This last strategy primarily focuses on regulation of malarial prevalence among expectant women. Statistical data that only 58% of pregnant women by 2008 had access to antenatal care from relevant service providers while 62% of expectant women successfully delivered at home elucidates the extent of socio-economic disparity and the need for effective preventive treatment programs for pregnant women. Ideally, a couple of factors contribute to low utilization of health facilities by expectant women. Primarily, inadequate or poor quality of antenatal services, expensive cost of the services and ignorance on the need to attend antenatal services indisputably discourages expectant women from utilizing antenatal services from relevant health facilities. As a preventive measure to the challenges facing expectant women, this strategy identifies specific drugs that can effectively fight malaria in expectant women. The Intermittent Prevention Therapy (IPT) and Sulphadoxine-Pyrimethamine (SP) ha ve been identified as effective malaria prevention among this vulnerable group. These drugs should be administered freely to the women since majority of them may not be able to afford such drugs. In conclusion, this paper reaffirms the need to address the malaria menace especially in the sub-Sahara Africa and other tropics. The paper lays emphasis on the prevalence of this scourge on children under the age of 5 and pregnant women. The paper also extensively discusses how socio-economic factors and physical environments contribute to the prevalence of malaria infections especially in poor neighborhoods in Africa and Northern Nigeria in specific. This paper presents a preventive strategy that focuses on the most vulnerably group. Reference Bradley, D. J. (1992). Malaria: Old Infections, Changing Epidemiology. London: London School of Hygiene, in Health Transition Review Vol. 2. Supplementary Issue 1992. Health Impact Assessment (2014). The Determinants of Health. WHO. Retrieved from http://www.who.int/hia/evidence/doh/en/ Malaria Indicator Survey (2010). Final Report. Retrieved from http://dhsprogram.com/pubs/pdf/MIS8/MIS8.pdf Malaria Operational Plan FY 2013. President’s Malaria Initiative. Retrieved from www.pmi.gov/countries/mops/fy13/nigeria_mop_fy13.pd Mazumdar S. Guha, P. M. (2013). Prevention and Treatment of Malaria in Nigeria: Differential and Determinants from a Spatial View. Retrieved from http://uaps2007.princeton.edu/papers/70579 Okafor, F. U. Oko-Ose, J. N. (2012). Prevalence of Malaria Infections among Children aged six months to eleven years in Benin City, Nigeria. In The Global Advanced Research Journal and Medical Sciences Vol. 1 (10) p. 273-279, November, 2012. Retrieved from, http://garj.org/garjmms/pdf/2012/november/Okafor and Oko-ose.pdf Progress Impact Series Country Reports, No. 4 (2012). WHO. Retrieved from http://www.rbm.who.int/ProgressImpactSeries/docs/report11-en.pdf Report on Nigeria Malaria Indicator Survey (2010). Retrieved from http://dhsprogram.com/pubs/pdf/MIS8/MIS8.pdf Yusuph, O. B. et al. (2010). Poverty and Fever Vulnerability in Nigeria: A Multilevel Analysis. In Malaria Journal. Retrieved from http://www.malariajournal.com/content/9/1/235 World Health Organization. World Malaria Report (2013). Retrieved from www.who.int/iris//9789241564694_eng.pdf

Sensorimotor Loss And Hemiplegia Health And Social Care Essay

Sensorimotor Loss And Hemiplegia Health And Social Care Essay Captain Scarlet and Captain Blue were working in the intelligence section of Cloud-base when there was a terrorist attack by the Mysterons. A bomb exploded causing the ceiling to collapse trapping both of them under the rubble. Captain Scarlet escaped with only minor injuries but Captain Blue was struck across the shoulders by masonry and piping, which pinned him down. It took several hours to dig him out and when he has pulled free he was unable to move his arms or legs. When he arrived at the Cloud-base hospital, he complained of his inability to move and of shooting/burning pains in both arms. Neurological examination revealed a left hemiplegia and right hemiparesis with a Babinski sign present bilaterally. Pain sensation was lost from the right shoulder downwards. Bladder, bowel and genital reflexes were also absent. X-rays of the cervico- thoracic region were taken and subsequently he underwent surgery to remove bone fragments and to stabilise the cervical spine. A month later, movement of the right arm and leg had improved. Two months after surgery, movement in the right hand had improved further but there was no voluntary movement on the left. Fasciculation of the left deltoid muscle was found together with spasticity of the left arm and leg, with clonus at the ankle. A Babinski sign remained on the left side. Joint position sense was present on both sides but pain sensation was absent on the medial right aspect of the upper right arm, right side of the thorax, abdomen and whole right lower limb. Despite reassurances from his Colonel that his condition will improve further, Captain Blue feels that he will never physically recover from his injuries. Organisation of spinal cord In its own definition of spinal cord, Oxford medical dictionary states: The portion of the central nervous system enclosed in the vertebral column, consisting of nerve cells and bundles of nerves connecting all parts of the body together(1). Spinal cord is divided into 2 regions: The white matter: It contains the axons of the neurons that make up the descending and ascending tracts responsible for the communication of the spinal cord with the brain. The white matter can be split into the dorsal, the ventral and the lateral funiculous as seen in Figure 1. The White matter contains the following four pathways that are essential for the scenario and that will be further discussed in the next objective. Each tract carries a specific modality (types of sensation) in the brain. The position of each tract in the white matter is seen in Figure 2. Dorsal column medial lemniscus tract (DCML): It is responsible for conscious proprioreception and discriminative touch. It is split into the gracile and the cuneate fasiculi which carry these modalities from the lower and upper limbs respectively. Spinothalamic tract(STT): It is responsible for the pain and temperature sensation. Spinocerebellar tract (SCT): It is responsible for the unconscious proprioception to the cerebellum which controls the co-ordination of movements. The above are ascending pathways i.e. they send information from the spinal cord to the brain. The following is a descending pathway: Corticospinal tract (CST): It is responsible for sending information to the spinal cord for controlling voluntary movements of the lower and upper limbs. Figure 1 Spinal cord transection (2) The Grey matter: It mainly consists of neural cell bodies and glial cells. Ten different layers of grey matter called laminae can be distinguished. it is further divided into 3 or 4 regions (depending on the level of the spinal cord) each containing several laminae as seen in Figure 2: Superficial dorsal horn: It consists of laminae I-II and receives information from nociceptors about pain and temperature from Ac and ÃŽÂ ´ sensory fibers. Deep dorsal horn: It consists of laminae III-VI which receive information for touch and conscious proprioreception from the low threshold mechanoreceptors form IÃŽÂ ² sensory fibers. Lateral horn: This can be found in the spinal levels T1-L2 and is responsible for the autonomic control as it contains cell bodies of autonomic preganglionic fibers. Ventral horn: It consists of laminae VII-IX and contains the cell bodies for ÃŽÂ ±-motor neurons that innervate the muscles, as well as here the muscle afferents terminate. Figure 2 Organisation of spinal cord (3) Organisation of pathways in Spinal cord Each of the four pathways mentioned above will now be described: Dorsal Column Medial Lemnsicus pathway (4): Figure 4 DCML tract (3) The Information from the cuteneous mechanoreceptors travel through IÃŽÂ ² fibers in the dorsal horn of the spinal cord and innervate the dorsal column nuclei. The Axons ascend ipsilaterally the spinal cord. They decussate in the medulla and ascend through medial lemniscuses to the ventroposterolateral nucleus of the thalamus. Then they travel through the internal capsule to the primary somatosensory cortex in the postcentral gyrous. Spinothalamic tract (5) Figure 5 STT tract (3) It conveys information such as pain and temperature from nociceptors through C and AÃŽÂ ´ fibers to the laminae I-II of the dorsal horn. The axons decussate in the grey commisure of the spinal cord one or two segments above the point of entry. 2ndary axons ascend in the lateral lemniscus of the spinal cord and innervate the ventroposterolateral nucleus of the thalamus. 3rd order axons travel through the internal capsule to primary somatosensory cortex in the postcentral gyrous. Spinocerebellar tract (6) Figure 6 STT tract (7) It conveys information for unconscious proprioception from the muscle mechanoreceptors and through IÃŽÂ ² fibers in the deep dorsal horn. The axons ascend in the dorsal columns and innervate the Clarkes columns. This pathway does not decussate. The axons enter the cerebellum through the inferior pudencle. Corticospinal tract (8) Figure 7 STT tract (3) It curries information from the primary motor cortex in the precentral gyrous to the ventral horns of the spinal cord and from there through ÃŽÂ ±- motor neurons to the muscles. The axons from the pre-central gyrous pass through the internal capsule and decussate at the spino-medullary junction to form the pyramidal tract. From there they descend in the lateral corticospinal tract to innervate ÃŽÂ ±-motor neurons nuclei in the ventral horn. ÃŽÂ ±-motor neurons travel in the body and innervate the muscles. Explain the symptoms Diagnosis Below are listed and explained the symptoms caused by the spinal injury giving a possible diagnosis at the end. The symptoms of Captain Blue are due to the damage of the spinal cord caused by the vertebrae bone fragments. Symptoms Explanation Initial inability to move and shooting pains in both arms These are due to the spinal shock (9). This causes temporarily loss of function of the whole spinal cord. As a result, there is a loss of ability of voluntary control to all body giving the impression of muscle flaccid paralysis. Also there is loss of sensation and in this case there is a shooting pain in both arms. The spinal shock usually starts to face off in one day and gradually the reflexes, the control of movement and the sensation in the undamaged part are gained back. Babinski sign bilaterally. Clonus in the ankle and spasticity of the left arm and leg The Babinski reflex is a polysynaptic reflex evoked when there is nocturnous stimuli on the sole of the foot. The normal Babinski reflex causes withdrawal of the foot with adduction and flexion of the toes. An abnormal Babinski sign is one that shows abduction and extension of the toes of the foot when the foot is withdrawn. In neonates it is normal to show an abnormal Babinski reflex as their corticospinal tract has not yet matured (10). Clonus is a series of contraction when the muscle is stretched. Spastisity is increased muscle tone. All the above are indicators of an upper motor neuron lesion and indicate a possible damage on the corticospinal tracts of the spinal cord. Fasciculations Fasciculations are spontaneous, involuntary muscle contractions that can be seen below the skin. These are due to spontaneous firing of damaged ÃŽÂ ±-motor neurons. These are caused by the damage on the ventral horn where the ÃŽÂ ±-motor neurons synapse with the descending tracts. Left hemiplegia and right hemiparesis. After two months right hand movements are improved. Hemiplegia is the complete inability of the voluntary movement of the one side of the body whereas hemiparesis is the weakness in movement. As concluded above there is damage in the CST of the spinal cord. This causes ipsilateral loss of movement below the level of lesion. Left hemiplegia indicates that there is a lesion on the left side of the spinal cord as the CST decussates in the medulla. The right hemiparesis is due to the initial spinal shock. Pain sensation lost from the right shoulder downwards The loss of sensation indicates damage of the spinothalamic tract. The loss of sensation is on the right side as the lesion is on the left part of the spinal cord. This is due to the fact that STT decussates in the spinal cord. The level of loss of pain sensation is an indicator of the possible level of lesion. The shoulder region is innervated by the C5 level. Therefore, this is probably the level of injury. Bladder, bowel and genital reflexes were absent Bladder, bowel and genital reflexes are autonomic reflexes controlled by the brain. In the lateral horn of thoracolumbar and sacral levels, autonomic preganglionic fibers originate and innervate the organs. In more detail, parasympathetic activity in men is responsible for arousal whereas sympathetic activity is necessary for ejaculation and orgasm. Autonomic activity in bowel and bladders controls the muscles responsible for defecation and dieresis respectively. A lesion in the spinal cord can damage the pathway and result in incontinence of bladder and impotency for men. Joint position sense was present on both sides but pain sensation was absent on the medial right aspect of the right arm, right thorax, abdomen right lower limb. Information for joint position is ascending to the brain through the DCML tract. This means that this pathway is not damaged. On the other hand as explained above, pain sensation travels in the CTT which is damaged. In Figure 8, there is a body map showing the area affected as far as motor movement is concerned (solid brown area), and the area of impaired sensation. On the right, is the area of damage at the C5 level resulting in the symptoms on the left. Taking everything into concern, all the complications indicate a lesion on the left side on C5 level of the spinal cord due to injury from the bone fragments. The structures damaged are: DCML pathway and STT Part of the ventral horn Figure 8 Captains Blue Symptoms body map and lesion of spinal cord Spinal cord injuries Spinal cord injuries can occur due to trauma, infections, ischemia and other diseases. In this case the trauma was indirectly caused by bone due to vertebrae fracture. There are also direct traumas such as in stab wounds. Damage is firstly caused due to hemorrhaging and compression of the spinal cord. The secondary complications such as hypoxia and ischemia that occur over a longer period can also cause further damage. After the initial physical damage to the spinal cord, apoptosis of the glial cells and demyelination occur. Inflammatory cells infiltrate the spinal cord and contribute to the scaring and the inhibition of the axon growth. The injury may expand to other segments and cause grater complications (syringomyelia). Figure 9 shows a cervical spinal cord following an injury. Figure 9 Spinal cord after injury (11) Figure 10 ASIA categories for spinal cord injuries (12) Spinal cord injuries can be classified with ASIA (American Spinal Injury Association) in Asia A, B, C, D categories. Figure 10, adapted from ASIA official website, shows the characteristics of each category. Treatment Prognosis The treatment for spinal cord injuries is very complex. However, even with the best treatment, regeneration of nerves and complete regaining of functions is unlikely. The treatment mainly concerns the reduction and minimization of the damage and fights the complications caused by the injury (13). The primary line of treatment is to relieve the pressure on the spinal cord and eliminate the cause of the damage. In this case Captain Blue undergoes surgery to remove the bone fragments. The second line of treatment involves the reduction of the inflammatory response responsible for further damage. The prescription of corticosteroids helps with the anti-inflammatory effects, the reduction of the glial scar formation and the CNS cell death. Furthermore, doctors must work against problems caused by the loss of movement such as urinary infection, wasting of muscles or formation of blood clots. As a result, exercises to improve bowel and bladder function and lifestyle tips to reduce the possibility of clot formation are given. Physiotherapy is the route to avoid muscle waste. Occupational therapy is needed for the patient to learn to live with his immobility. A range of non medical specialists such as dieticians, psychologists and social workers are also needed. The prognosis for CNS damage is very poor. Regeneration of the nerves in the CNS is difficult due to: Glial scar formation. Release of inhibitory substances that oppose axon growth and remyelination. However, new techniques such as electrical stimulation of the nerves with electrical devices can be used in the future to gain muscle function. Stem cells are also a promising future. Presently the most helpful and accessible way to overcome the disabilities caused by spinal cord injuries is the wheelchair with electronic devices that can be used for communication, movement and a variety of other daily jobs.

Learning Disabilities Essay -- A Level Essays

Learning Disabilities Eleven-year-old Anna is outgoing and bright. She attempts to work hard, but her progress in school has always been slow. She is a year behind her peers, particularly in her English class and her teachers have slowly begun to reduce their expectations of her. Her parents are worried because her confidence for learning is decreasing, and there is less motivation for her to do homework and class assignments. A psychologist found that her intelligence is in the gifted range, but she has difficulty in making out written symbols. It is easy to make the assumption that Anna seems merely as a child who is slow intellectually, but when taking a closer look, it shows that she is just as intelligent but happens to suffer from a learning disorder. Students with learning disorders have brain impairments that make it difficult for them to acquire skills and knowledge accurately and fast enough to keep pace with average academic progress (Encarta, 2003, p.1). The purpose of this research paper is t o investigate the causes of learning disorders, various types of disabilities, their causes, and finally how in today’s modern era assistive technology is able to reduce the frustration of students and increase their level of performance. Defining Learning Disorders/Disabilities The IDEA (The Health & Fitness Association) 1997 Definition of Learning Disabilities is: â€Å"A disorder in one or more of the basic psychological processes involved in understanding or using language, spoken or written, that may manifest itself in imperfect ability to listen, think, speak, read, write spell, or to do mathematical calculations. The term includes such conditions as perceptual handicaps, brain injury, minimal brain dysfunction, d... ...p://www.ldanatl.org/aboutld/teachers/social_emotional/socialacceptance.asp Addresses the fact that health professionals, special educators, and parents must make real efforts to promote the social acceptance of children suffering with learning disabilities. Crossen, C. (1997). Studies suggest phonics help children learning to read. Wall Street Journal. Retrieved April 16, 2005 from http://barrier-free.arch.gatech.edu/Articles/wsj_learning.html Talks about how the earlier reading disabilities are detected the better. With proper encouragement and tools students will have more motivation for reading throughout their lives. Sack, J.L. (1999). Schools advised to catch, treat disabilities as early as possible. Education Week, 18, 7. Received April 16, 2005 from EBSO-host. Emphasizes importance of treating a learning disability as early as possible.

Canterbury Tales Essay: Immorality and the Friar -- Canterbury Tales E

Immorality and the Friar in The Canterbury Tales  Ã‚   It is a sad commentary on the clergy that, in the Middle Ages, this class that was responsible for morality was often the class most marked by corruption. Few works of the times satirically highlight this phenomenon as well as The Canterbury Tales, by Geoffrey Chaucer. Chaucer’s "General Prologue" introduces us to a cast of clergy, or "Second Estate" folk, who range in nature from pious to corrupt. The Friar seems to be an excellent example of the corrupt nature of many low-level clergymen of the times- while his activities were not heretical or heinous, his behavior is certainly not in accord with the selfless moral teachings he is supposed to espouse. According to the Narrator’s account, he is a snob, corrupted by greed, and acts in very un-Christian ways. It is clear that he is a man of low moral standards. When we are first introduced to the Friar, we are told that he possesses a level of social grace far above his station in life. We are told that in the four begging orders, there is no one as knowledgeable in fair language and sociability as he (lines 210-211, Norton), and that he is a very ceremonious fellow (line 209). This seems out of step with a man who is supposed to make a living by begging, a man who is supposed to go through life without a roof over his head. This level of breeding and affinity for ceremony has likely come from an aristocratic birth- often, the younger sons and daughters of nobles who could not be provided for simply entered the clergy. This contributed to a large body of clergy members who came to the church not because they felt a divine calling, but simply because that is what was expected of them (his fellow pilgrim, the Prioress, als... ...th money from those who can barely afford bread. This Friar’s morals are much closer to vice than virtue; any doubts that he is a man of low morals are now completely swept away. Chaucer’s "General Prologue" is remarkable in that it allows us to see not only what characters may claim to represent, but also how they really are inside. Chaucer’s depiction of the Friar, who should be a man of upstanding piety and virtue, makes it readily apparent that he is quite the opposite. The Friar’s elitist background and behavior, his begging-supported greed, and the vices that oppose true Christianity prove that he is a man of low moral standards. Certainly, Chaucer paints a masterful contrast of image vs. reality. Bibliography The Norton Anthology of English Literature: Sixth Edition, Volume 1. M.H. Abrams, et al, Editor. W.W. Norton and Company. New York: 1993.

Help with macbeth P.E.E

Explain what medium you will use to present your Ideas (Why you have chosen to do a painting etc) PARA 3 -5 The scenes you have chosen. This Is your PEE Paragraphs 2. Explain which theme you will focus on in your presentation. Why you chose it? 3. Explain why you are doing a sculpture and what you hope to show your audience 4. You are going to explain which scenes best illustrate your theme. (Pick out 3-5 examples that show the breakdown in their relationships) 5. With these examples, you will then write PEE paragraphs. 6.Conclusion The Role of Guilt In Macbeth Guilt plays a strong role In motivating Macbeth, and causes Lady Macbeth to be river over the edge of sanity to her death. Throughout the story, there are many different types of guilty feelings that play a role in Machete's fatal decisions and bring Lady Macbeth to commit suicide. Although there are many instances that show the power guilt has played on the main characters, there are three examples that show this the best. On e is, just after the murder of the great King, Duncan.Guilt overcomes Macbeth where he can no longer think straight. A second example is soon after that, where all the guilt Macbeth feels at first, changes into hate after he decides that Banquet must be killed as well. The last example is Just about at the end of the play, when we see Lady Macbeth sleepwalking, and then later committing suicide; this all because of the burden of her guilt. All of these examples build the proof that In this play, guilt plays a very large role In the characters' lives. Returns to his room to Join his wife.As any person would be, Macbeth is very shaken by his wrong act. Killing a man, not to mention a beloved king is a sin and Macbeth knows it very well! He truly believes he has murdered all innocence, and only worse things will follow. Throughout the scene there are several quotes that show this; † Glacis hath murdered sleep, and therefore Castor shall sleep no more: Macbeth shall sleep no more, † and † Will all great Neptune ocean wash this blood clean from my hand? No; this my hand will rather the multitudinous seas incarnadine, making the green one red. This shows the amount of guilt he felt. He describes this by saying that if he tried to wash his hands in the river, it would turn into the color of the blood itself. Lady Macbeth attempts to make him stronger, † A little water clears us of this deed: How easy it is then! † But the guilt he feels Just does not go away†¦ At least for the time being. As soon as Act Ill is set up, we see Macbeth, Lady Macbeth and Banquet having a nice friendly conversation. Macbeth was already crowned king, and a dinner was planned for that night. Banquet was to be the â€Å"guest of honor†.Little did any of us know, Macbeth was already conspiring his friend's death. Guilt seems to play a motivating role when he says, â€Å"Things bad begun make strong themselves by ill† What he is referring to, is his guilt; if you do something bad once, it will bother you. If you do it again, it will bother you less. If you keep doing it, it will eventually stop bothering you impolitely. He also admits, (that one time only) in the scene, that after killing Duncan, his morals and guilt were poisoned and used to motivate him to commit more murderous crimes. Fit be so, for Banquets issue have I filed my mind; For them the gracious Duncan have I murdered; Put rancorous in the vessel of my peace†¦ † Perhaps one of the strongest evidence that shows guilt, is how it affected Lady Macbeth. After the absence of a story line for most of the play, Act V begins by re- entering Lady Macbeth; this time though, she is not at all the woman we were first introduced to. It begins with a discussion between a doctor and a very worried gentlewoman about the failing health of the lady herself.Just as we learn that she has begun to sleepwalk every night, Lady Macbeth comes in, doing Just that. She start s to rub her arms, in a washing motion and says, â€Å"Out damned spot! Out, I say! † and, â€Å"†¦ Yet who would have thought the old man to have had so much blood in him? † The word blood, is really a metaphor for the enormous guilt she feels and her action, in trying to get rid of the guilt by â€Å"washing† and rubbing it away. In the second quote, the â€Å"old man† represents, King Duncan. Who would have known that killing the king carried so much guilt?Her sleepwalking continues as she talks about the death of Lady Macadam. † The thane of Fife had a wife. Where is she now? What, will these hands newer be clean? † After the continuous rubbing motion, Lady Macbeth cries out, â€Å"Here's the smell of blood still. All the perfumes of Arabia will not sweeten this little hand. † She realizes that nothing could ever get rid of the smell of the blood and the guilt caused by all the murders committed by Macbeth. It's also shown here that she feels fully responsible for every person killed by her husband.Just several scenes later, Lady Macbeth commits suicide. What's the reason? It was Just a build up of all The quotes and explanations used throughout this essay, built up proof that guilt played a big role as the motivation for Macbeth, and guilty feelings were brought out through the characters' actions and responses, until the very fatal end. Guilt itself, is a very strong and uncomfortable feeling. It can result though, in many good things, and Just as easily into bad things. This is what happened throughout this story†¦ And this is also why the play has been called, â€Å"The Tragedy of Macbeth. †

Brief Introduction of the Issues In the Meeting

Aim at the irregular trade between the Saving Drugs Corporation and the European Union, I have taken down the introduction about the issues and want to turn to you for help. It will not just concern the company’s profit but also the immigrants’ who arrive in Southern Europe each year. Actually, the European Union is devastating to Saving Drugs Corporation’s business plan to import less costly pediatric polio drugs manufactured by Saving Drugs Corporation into the European Union.By using the measure of imposing a 100% tax on pediatric polio drugs of whose country of origin is other than one within the European Union or a former colony of an EU member in Africa or Asia, they can hinder Saving Drugs Corporation’s plan going on smoothly. In fact, it is not conformed to the common law. Tariff is used to limit exotic products and protect one country’s own products. Besides, it can also weaken the competition of other countries’ goods and prevent th em against taking up the whole market. However, if one country raises the rate of tariff to 100%, it is not normal at all.â€Å"When the rate of tariff reaches one hundred percentages or several hundred percentages, it is a kind of Protective Duties. † Miecha just wants to warn the European Union of the high tariff rate, and they must take it into account and change the tariff rate. Besides, Miecha believes this is a blatant violation of the antidiscrimination provision of the General Agreement on Tariffs and Trade (GATT) known as the national treatment rule, and she asserts the aim-and-effect of the EU tax is to discriminate against non-European immigrants.We should treat each man equally. â€Å"One should not lightly dismiss the inherent unfairness of, and the perception of mistreatment that accompanies a system of allocating benefits and privileges on the basis of skin color and ethnic origin. † Although the immigrants are not your own citizens, you still need to tr eat them as well as local people. The country should pay attention to their living conditions, work environment, healthy situation. If their fundamental conditions cannot be met, it is not good for the country’s stability and development.The European Union should not discriminate against non-European immigrants. In addition, WATT is concerned about the tariff and trade between countries, and it plays an important role in regulating and harmonizing the relationship of each other. For example, with the help of WATT, â€Å"Uruguay has lowered its industrial products’ tariff from 5% to 4%. † Under the WATT’s regulation, the tariff barriers could be solved much better. It is not conducive to international trade to raise the tariff too high; on the contrary, it will hinder and decrease the cooperation between different companies.Usually, we can work out the protective tariff rate by a formula: first, we use the domestic market price of the import products minus the international market price of the import products; second, we use the result of the above divide the international market price of the import products and then multiply 100%, and that is the appropriate tariff rate. If the European Union can formulate the correct tariff rate, Saving Drugs Corporation will keep a good relationship and cooperate with it.What is more, European Union’s policy will result in the burden to immigrants. Once the import tariff rises, the price to sale in the market will be higher at the same time. It is a kind of saving product, and the major purpose is to help those who live a hard life. If European Union still keeps the high tariff, it is not the Saving Drugs Corporation’s loss but also the poor immigrants’ loss too. The major purpose to have a meeting with congresswoman is ensuring that no WTO member would enact a measure that blatantly violated an international trade treaty.We should use the rules of WTO and WATT to protect the profit of the Saving Drugs Corporation whose drugs are intended for distribution to the over 20,000 African, sub-Saharan and the undocumented immigrants who arrive in Southern Europe each year. Each law in the world is based on the human nature, that is, people’s reasonable and legal profits will protected by the law. Nevertheless, if European Union still imposes the 100% tax on pediatric polio drugs, both the company and the poor immigrants will be harmed greatly.What we need most is a statement of the relevant rules of law needed to resolve the issue, a statement of the court’s holding on each issue, and a statement of the steps of the court’s reasoning in applying the rules to the facts to resolve each issue. I will wait for your answer and all of us wish it would be an impartial and reasonable decision. Bibliography: 1. Xiang Yijun, 2002, International Trade and Theory, Beijing: Chinese Agricultural Press 2. Frank I. Michelman, 2004, the Harvard Law Review, Reasonable Umbrage, V. 117 No. 5, Page1378 3. Tramy, 2004, GATT and WTO, http://tramy. blogdriver. com/tramy/94001. html