Race, ethnicity, gender identity Essay Example | Topics and Well Written Essays - 2000 words

Race, ethnicity, gender identity - Essay Example large number of Asian and Hispanic immigrants migrating to the American sub continent, which is perceived as an alternative avenue of economic attainment, has led to an emergence of an ethnic economy. Besides, the availability of cheap labor and better knowhow at substantially lower prices has led the companies to hire people from every corner of the world. Also the jobs that were initially considered as a â€Å"man’s domain† no longer exist. Companies today do not shy away from hiring the fairer sex in areas where men were given more prudence, as talent is what counts in this fast paced world. The gender gap too has narrowed leading to a culturally diverse work environment. However, this has brought along with it several far reaching repercussions. In a bid to hire cheap and efficient labor several companies today, are increasingly hiring people from all corners of the world, sometimes replacing foreigners in place of the indigenous workforce. This, in turn has led to discrimination on various grounds including gender, ethnicity and race. In spite of the fact that the work environment is increasingly becoming culturally diverse, many organizations still look for the heterosexual male worker usually belonging to the culturally dominant group, as an able candidate for the job. The rest of the work force, who do not conform to the said definition, are subjected to discrimination on various grounds, including age (senior citizens), gender, race, ethnicity, sexual preference, as well as physical disability. In the United States and several other developed countries, there exists widespread discrimination against women especially of the African American descent. They are often subjected to restricted occupations and their occupational mobility is seldom high as regards their positions or levels in the organization. This could be attributed to the popular perceptions about their competence, among their white counterparts, which apparently isn’t too encouraging.

Women in Greek Mythology Essay Example for Free

Women in Greek Mythology Essay A myth is a legendary traditional story, usually concerning a hero or an event, and typically involving supernatural beings and events. Informally, the term is also used to describe false stories, due to the usual lack of determinable basis or fact in most myths, but the academic use of the word has nothing to do with truth or falsity. Myths are stories woven from the need of having models for behavior. They are sacred stories revolving around sacred events and sacred characters idealized perfectly to be the suitable role-models in the eyes of the society from which they spring, which makes myths a valuable resource for explaining how the human race came to what it is today. Ancient Greek society had very specific gender roles, where men were expected to be controlling and domineering, and women passive and obedient. It was believed that if women were busy in their domestic homes, then they will not turn to their evil nature in which men of that time strongly believed in. â€Å"From her is descended a great pain to mortal men† (Leftowitz and Fant, p25). In Homer’s Odyssey, one of the oldest and most fundamental works of literature to western canon, the importance of women in the poem’s plot lies in their roles as seductresses. When Odysseus crew arrives on Circes island, they are attracted to Circes house because of the alluring voice of the beautiful but monstrous goddess. Homer describes her as singing in a sweet voice, as she fared to and fro before the great web imperishable, such as is the handiwork of goddesses, fine of woof and full of grace and splendor. (Homer, 850 BC) But evil seductresses was not the only portrait of women offered by Greek Mythology. Penelope, the wife of the main character in the Odyssey, Odysseus, is a prime example of what an ideal wife was in Ancient Greek society. She has only one son by Odysseus, born just before Odysseus was called to fight in the Trojan War. Penelope remained faithful to Odysseus for 20 years as he was away fighting, doing all she can to curb the unwanted attention of many suitors and their requests for her hand. She has devised many plans to delay an answer, one of which was pretending to weave a burial shroud for Odysseus’ old father, and promising to choose which to marry of her suitors when she finishes it. Every night for three years she undid a part of the shroud until her trick was exposed. She is a symbol of fidelity in marriage, even though she begins to get restless and ambivalent, due mainly to Athena’s encouragement, after 20 years of waiting. As Irene De Jong comments: â€Å"As so often, it is Athena who takes the initiative in giving the story a new direction Usually the motives of mortal and god coincide, here they do not: Athena wants Penelope to fan the Suitors desire for her and (thereby) make her more esteemed by her husband and son; Penelope has no real motive . . . she simply feels an unprecedented impulse to meet the men she so loathes adding that she might take this opportunity to talk to Telemachus (which she will indeed do)† (De Jong, p.44) But as Odysseus comes back disguised as a beggar, Penelope vows to marry whoever can string Odysseus Bow and shoot an arrow, which leads to Odysseus and Penelope reuniting together. Penelope’s story shows what Greek men expected from women, undying fidelity and a good, sharp and reliable mind. And albeit the fact that Penelope starts longing to show off for her suitors and eventually agrees to marry whoever strings her former husband’s bow, she is still shown in a good light in Greek myth. On a high contrast to the passive Penelope is Medusa, the gorgon female monster, who is well known for hair of snakes and her horrifying glare that turned onlookers to stone. She was born an exceptional beauty, the jealous aspiration of many suitors, with her hair being her best feature, but after she was ravished in Athena’s temple, the goddess was so enraged she punished her by turning her hair into snakes and whoever looked at her into stone. She was later killed by the hero Perseus, who beheaded her and used her head as a weapon, then gave it up for Athens. Medusa has become a symbol of feminine rage, she was punished for being a victim of rape, while the man escaped with no consequence, and she had spread terror and fright as her revenge for the unfairness of the world, and later is beheaded, and her murderer is labeled a hero, giving her head to the goddess who had started it all with her curse. Interestingly enough, her name means the protector, or the guardian. The most interesting Greek mythical woman in my opinion is Pandora, the beginning of it all. Her name means â€Å"The giver of all†. She was Zeus punishment to mankind after Prometheus stole the secret of fire, the symbol of education. Zeus ordered her to be mould out of the earth, and he and all the other gods joined in offering this â€Å"beautiful evil† all manners of seductive gifts. It is said that she had opened a jar, known in modern days as Pandora’s Box, out of curiosity, and unintentionally released all the evils of mankind, disasters and illnesses and malaises, leaving only hope inside after she hastened to close it. The curious part is how women were viewed not just as a punishment, but a punishment for man’s attempts to broaden his mind and satiate his curiosity, and how the evils of mankind all came to be, not as a result of malice or malevolence, but that same innocent curiosity, which is one of the natural attributes of the human race. It appears as though the Greek did not approve of snooping around, especially of women, which brings to mind the modern stereotype of nosey idle housewives. Her other name is Anesidora, which means â€Å"She who sends up gifts†, implying her lower status as a female. In conclusion, while myths might not describe real events, they are nonetheless one of the most valuable tools to understanding human nature and ideals, they are fantasies that man had created and they reflect his thoughts and theories and explanations and hopes and ideals. Women had took up major roles in the Greek mythical world, as villains and victims, but rarely as heroines, which shows that the society at the time and place of the creation of those legends was dominantly ruled by men, with women staying to their homes and looking after their families. These gender stereotypes have continued for many years after the downfall of the Greek Empire, and are still popular throughout the world even today. References Bulfinch, T. , and Goodrich, N. (1995). Bulfinchs mythology: The age of fable. Plume. De Jong, I. (2001). A Narratological commentary on the odyssey. Cambridge University Press. Retrieved Dec 6, 2009 from http://en. wikipedia. org/wiki/Penelope Definition of Myth. Dictionary. com unabridged. Retrieved (2009, December 6) from http:// dictionary. reference. com/browse/myth Gender in Odyssey. Bookrag. Retrieved Dec 6, 2009 from http://www. bookrags. com/ essay- 2005/11/23/13450/292 Graf, F. , and Marier, Thomas. (1996). Greek mythology. Johns Hopkins Univ Pr. Hesiod, Schlegel, C. , and Weinfield. (2006). Theogony and works and days. University of Michigan Pr. Homer (fl. 850 B. C. ). The Odyssey. The Harvard Classics. 1909–14.. Bartleby. Retrieved Dec 6, 2009 from http://www. bartleby. com/22/10. html Homer, Fagles, R. , and Knox, B. (1998). The Iliad. Penguin Classics. Katz, M. (1991). Penelopes renown: Meaning and indeterminacy in the odyssey. Princeton University Press. Lefkowitz, M. R. , and Fant, M. B. (2005). Men’s Opinion. Women’s life in Greek and Rome. USA: The John Hopkins University Press. Pandora, by Jules Joseph Lefebvre(1836–1911), Oil on Canvas.

Justice in Platos Republic and Hobbes Leviathan Essay -- Politics Phi

One of the main concepts in both Plato's Republic and Hobbes' Leviathan is justice. For Plato, the goal of his Republic is to discover what justice is and to demonstrate that it is better than injustice. Plato does this by explaining justice in two different ways: through a city or polis and through an individual human beings soul. He uses justice in a city to reveal justice in an individual. For Hobbes, the term justice is used to explain the relationship between morality and self-interest. Hobbes explains justice in relation to obligations and self-preservation. This essay will analyze justice specifically in relation to the statement ? The fool hath said in his heart, there is no such thing as justice? Looking at Hobbes? reply to the fool will demonstrate that his main goal was to declare what people ought to do when interacting with others and what can be expected in return for that behaviour. By analyzing the Republic, it will be shown that Plato would most likely differ w ith the statement made by the fool because the main of premise the book in itself is to discover the definition of justice. To understand Hobbes? reply to the fool, one must first define justice according to Hobbes. He believes that justice is men performing their covenants made and the constant will of giving every man his own. A covenant is a part of a contract, or ?mutual transferring of right, in which at least one of the parties ?is to perform in time to come?. Hobbes maintains that it is never against reason to complete a covenant when man has the security that others will also perform covenants made with him. However, the problem that arises from forming covenants is that just because people enter into a covenant to perform some actio... ...ing so he also showed that there is such a thing a justice within a city as well as in an individual. Thus, Plato?s reply to the fool would be that indeed there is such a thing as justice. And justice is good because it benefits in this life as well as the next. Therefore, even though a man may wish to behave unjustly when he can, as with the myth of the ring of Gyges, behaving justly will have the most rewards. Both Plato and Hobbes present different views of justice in reply to the fool. Plato, claiming one should be just because it is good in itself, where as Hobbes claims being just is good for the pursuit of self-interest or preservation. Despite the difference of opinion on justice between the two philosophers, it is clear that the fool?s statement has been refuted. For there is such a thing as justice despite the differences in how the term is defined.

Analysis Of Sweat By Zora Neale Hurston English Literature Essay

All through literature and narratives, words and characters will ever stand for different significances and symbols. Readers will go on to venture deeper and deeper into the significances of the words a author puts on paper. The author of the narrative may non even have a deeper significance to the authorship but we as worlds have a demand to research. The short narrative known as â€Å" Sweat † by Zora Neale Hurston may besides be one of those types of narratives. The short English literature narrative â€Å" Sweat, † written by Zora Neale Hurston, shows Sykes as the hubby of the taking character Delia in the narrative. During the narrative it seems as though Sykes gets easy upset and angered at his married woman Delia.A A Sykes takes his defeat out on Delia all throughout the narrative by aching her physically, rip offing with another adult female, and badgering her with one of her biggest fears, which are snakes.A A Even though Sykes ‘ behaviour should non be a ccepted or followed, he perchance could demo marks of a mental job that is non to the full addressed or delve into during the narrative. Sykes may besides experience threatened because Delia is the exclusive supplier of the house. He wants to experience as if he still has the â€Å" adult male † power and control over the matrimony. More frequently than one time he tries to take Delia and do her feel lesser to him as he feels it should be. A During this clip many adult females may hold backed down after being yelled at or threatened by their hubbies but Delia did non back down nevertheless. She took a base against Sykes by stating to him, † Mah bath of lather is filled yo ‘ belly with vittles more than yo ‘ custodies is filled it.A A Mah perspiration is done paid for this house and Ah reckon Ah kin maintain on sweatin ‘ in it † ( Hurston 408 ) . In the narrative the reader can about state and experience that Sykes besides does non desire to be reminded that he was unsuccessful in doing a complete household or the fact that he has failed to take attention and supply for his household. Betty Nosam writes in the book, â€Å" Perspiration, Looking for a Man`s topographic point † , â€Å" In Sweat, the hubby named Sykes is often exposed to his allow down and failures to supply for his household, his married woman by her repeating negotiations of ‘her ‘ passenger car, pony, o ther physical points † ( Nosam 66 ) .A Hollering, shouting and shouting all seem to neglect, which will do Sykes experience the demand to fall back to other agencies of doing Delia listen, violence.A A All Through the narrative Sykes will be endangering Delia and informing her that he will hit her physically in one manner or another. Writer of the book, A organizing a Straight clout with a curving fist, Loren Bruckheimer, will explicate how, â€Å" Zora Neale Hurston uses descriptions of the whip to suggest a people of manfulness expressed in an over powering nature and deeply seeded in cultural dictatorship † ( Bruckheimer 44 ) .A A This would connote that Sykes hits Delia merely because the lone manner of manfulness that he has known is the sort that the white townsmen seem to portray.A A During the times when white males beat African Americans, the white males would hold complete control and would look better. This in return would do the black work forces want the exact same feeling of power and entire control, so they demanded regard, power and authorization within their ain houses.A A In society the black work forces would be rejected regard which in return would do them demand it more and more in their places to reassure themselves of their control, domination, power and most of all manhood.A A A A A A A A A A A A A Over clip though, like anything that sub comes to suppression over a period, the adult females and married womans would get down to allow their voices be heard back to their hubbies, like Delia started making to her hubby Sykes, which would take to enormously surprised ideas and inquiries by their hubbies. The work forces at first would believe that because that because they were aching and conveying force toward their adult females or married womans, the adult females should conceal, cower and be wholly loyal to them at all times.A A Debbie C. Hallace goes on to state in her bookA Forming our ain Thoughts, â€Å" It shall be that motion of verbal communicating that ‘talking back, ‘ will be no mere signal of hollow letters and characters that is the visual aspect of our association from thing to publish † ( Hallace 11 ) . Delia cognizing her importance and existent power in the relationship needed to allow Sykes understand how much in world he truly needed and survived on her. So in return she took a base and allow her sentiments fly in response to the menaces and response`s Sykes let out. A A A A A A A A A A A A Later on in the narrative Sykes will develop a relationship or better yet a kept woman who is called Bertha who he will lavish with gifts and nowadayss alternatively of his ain married woman. One would believe that by holding another relationship it would do him experience manlier because he sees himself as more desirable and wanted if he has two adult females around him. Sykes will get down to take Bertha out on the town and lavish her with everything she asks. Sykes will state her, â€Å" Everything b'longs tuh me an ‘ you sho families have it.A A You kin git anything you wants.A A Dis is mah town an ‘ you sho ‘ families have it † ( Hurston 411 ) . By supplying for Bertha and giving her every privation and desire that she requires, it will in return make Sykes feel like a adult male and in control once more. A A A A A A A A A A A A Sykes will experience like he has gained most of his power back when he does something unexpected to Delia. He will travel approximately by utilizing her biggest concern and fright against her, inside their ain house. As we are told earlier in the narrative, Delia is a really strong adult female but like most anyone, has a fright of something and that fright is of serpents. Sykes will utilize that fright against his ain married woman in full caput on force. He will continue to convey a serpent into their place inside of coop to utilize against Delia to presumptively set her dorsum in line as a house married woman. Moments after Delia has seen the serpent a fire that has been easy firing within her will turn a small more and Delia will state to Sykes, â€Å" Sykes, Ah wants you tuh take digital audiotapes snake ‘way fum heah.A A Ah put up widcher, you done crush me an Ah took digital audiotape, but you done kilt all mah interiors bringin ‘ dat verm in heah † ( Hurston 413 ) .A A By conveying this serpent into the house Delia has felt the ultimate treachery and hatred that Sykes must hold for her. Delia feels that Sykes has now sunk to low and will get down to alter indoors, non merely her feelings about Sykes but her feelings as woman.A A Sykes being the manner he is has a casual attitude and will state Delia, â€Å" A whole batch Ad keer 'bout how you feels indoors uh out. Dat snake aint goin no darn wheah boulder clay Ah gits ready fuh ‘im tuh go.A A So fur as beatin ‘ is concerned, yuh aint took near all digital audiotape you gointer take ef yuh stay ‘roun me † ( 413 ) .A A This will about immediately allow the reader know that Sykes will travel to any lengths or steps to acquire Delia out of the house. This will do the reader admiration if Sykes has realized he will no longer hold the domination or control he one time had over Delia and has wholly lost his power as a adult male over her. In Return, one would presume that his kept woman Bertha would continue to travel into the place with Sykes so he may one time once more relive and recover his sense of manfulness.A A A A A A A A A A A AIn the terminal Sykes will carry through his mission of frightening Delia to the nucleus when she is making her wash merely to vilify that the serpent is in the basket with the wash. Bruckheimer explains in her Hagiographas that, â€Å" The hubby Sykes fruitfully frightens Delia, aˆÂ ¦his beginning of manfulness is finally negative and lifelessly for him † ( 102 ) . Sykes will finally happen that he has gotten the upper manus and it is merely a affair of clip before he can get down over with Bertha and recover his lost control over a family. In the terminal of class, his program will return to stalk him and blowback. Sykes will return to his place one eventide without any marks of Delia and finally be bitten by the serpent and Sykes will decease. Readers will about immediately feel that Sykes got what he deserved after this event and they have good ground for this. Sykes treated Delia incorrect for many old ages and she put up his mistreatment and maltreatment, even though after he does she does experience a sense of commiseration for him. Believing Sykes got what he deserved makes the reader think that his decease was the moral of the narrative but, Betty Nosam says â€Å" a individual ought to incorporate sympathy after a male, whose whole life signifier is formed by the way in which he is meant to provide for a household, is non capable to d raw together the demands of their household, the general populace, and most significantly what he wants out of himself † ( 56 ) .A A A A A A A A A A A A A † Perspiration † showed that it was non merely a narrative about a individual harming his married woman to derive power and normal stableness in his place, but a relation of a battle about a individual, a adult male, to hold his ain rightful topographic point in an mean, normal society at the clip. In a unfavorable judgment article written by Stephanie Calcker, â€Å" Zora Neale Hurston had the belief that the resist with racial favoritism is sufficient for inkinesss powers to the idea that the concluding and last object wanted by black work forces at that clip was to set below and deeper down by the black adult females † ( Calcker 201 ) .A So in decision one can see that Hurston non merely wanted us to see battles in African American adult females ‘s lives but besides in work forces ‘s by demoing us that society as ever has outlooks. Sykes was turned by the society of his clip so he felt unacceptable and non in his right mentality or proper topographic point during that clip. So it is safe to presume that Sykes along with many other African American work forces were trapped by the societal outlooks of what they should be in that clip period and had to come to their ain realisation of it.A

Ncm 104 Lecture Notes

NCM 104 DERMATOLOGIC DISORDERS I. REVIEW OF THE INTEGUMENTARY SYSTEM SKIN – also known as the integument which means covering – largest organ system – barrier between external and internal environment FUNCTIONS OF THE SKIN 1) Protection – protects from trauma (Mechanical, Radiation, Thermal) – thickened skin on palms and soles provides additional covering against trauma r/t constant use – Intact skin – primary defense (prevents invasion of microorganisms) – secretions(from sebaceous gland) are oily and slightly acidic (prevents/limits the mult. of mcgs) 2) Maintenance of Homeostasis prevents excessive loss of water and electrolytes 3) Thermoregulation – affected by: > production of perspiration (dehydration fever) > activity > constriction (v dissipation of heat) and dilation of blood vessels > external BT -body’s core temperature 4) Reception of stimuli – area in the brain – SOMATOSENSORY CORTEX â₠¬â€œ abundance of free nerve endings and receptors * NOCICEPTOR – pain * END-ORGAN OF RUFFINI/PACINIAN CORPUSCLE – pressure * MECHANORECEPTOR – machanical * MEISSNER’S CORPUCLES (MERKEL DISCS/CELLS) – touch 5) Synthesis of vitamin D – helps the uptake of Ca2+ and PO4 in intracellular level with the aid of sunlight activates Vitamin D to D3 (Cholecalciferol) 6) Immunity/processing of antigenic substances – immunologically mediated defenses against microorganisms Ex. Langerhans cells Keratinocytes 7) Provide an outward appearance or cosmetic adornment – acceptance of the appearance of the skin, hair, or nail is critical to psychosocial being 8) Excretion – skin has a vital role in elimination of Na+ and H2O for homeostasis (maintaining balance in the internal environment) STRUCTURES OF THE SKIN LAYERS OF THE SKIN 1) EPIDERMIS – avascular in nature – Thickness: 0. 04 mm (eyelids- thinnest) to 1. mm (palms and soles- thickest) 4 Cell types of the Epidermis a) Keratinocytes – 95% – Produces Keratin – insoluble protein – helps create a waterproof barrier – function in immunity – control water loss b) Melanocytes – located at the base of the epidermis – Produces Melanin – responsible for skin color and absorption of UV light – the darker you are, the more protection against cancer – acts as an umbrella covering that shields DNA from UV c) Merkel’s cell – It is located at the basal layer of the epidermis but can usually be located only with the use of an electron microscope – one of the receptors scarcely located in the palms, soles, oral and genital epithelium d) Langerhan’s cell – play a role in cell-mediated immune responses in coordination with T cell – originates in the bone marrow and migrates into the epidermis Layers of the Epidermis a) Stratum Germinativum/Basale â⠂¬â€œ innermost – cells are columnar in shape – where melanin is found in greatest amount – lies close to the dermis layer – cells at the basale layer receives nutrition from the dermis via diffusion and undergo mitosis every 19 days and older cells are pushed upward undergoing changes in shape and chemical composition through a process known as keratinization ) Stratum Spinosum – cells are irregularly-shaped known as prickle cells (have sharp cytoplasmic projection at the covering) c) Stratum Granulosum – cells are nucleated granular cells which contain keratohyalin granules (contain lipids with desmosomal connections which helps to form waterproof barrier) water loss from the body *not responsible for water loss in the pores d) Stratum Lucidum – thin transparent layer Skin moisture-can only be seen in thick skin like the palms and soles immunity e) Stratum Corneum – composed of dead keratinized cells (contain keratin -acidic in nature) – serves as a durable overcoat of the body DESQUAMATION – natural process of breaking apart of dead skin cells; for every 35-35 days, an individual will have a new epidermal skin Epidermal Appendages a) Eccrine glands – sweat-producing gland – thermoregulation – can be found throughout the skin but with some exemptions – numerous on palms, soles, axilla and forehead – not found in: Vermillion border(junction of the pink area of lips surrounding skin) Lips, Ears, Nailbeds, Glans penis,Labia minora b) Apocrine glands – function is not clearly known – abundant in the axilla, breast, areola, anoogenital area, ear canal, and eyelids c) Sebaceous glands release of sebum (has lubricating and bactericidal effect) – can be found all throughout the skin except on the palms, soles, and axilla d) Hair – a non-viable protein end-product – found in all skin surfaces except palms and soles e) Nails †“ horny scales of the epidermis 2) DERMIS – a dense-layer of tissue beneath the epidermis – gives the skin most of its substances and structures – 1—4 mm (thickest dermis is found in the back) – has characteristics for: ->WOUND HEALING: because it contains fibroblast, macrophages, mast cells, lymphocytes -> MAINTENANCE OF EQUILIBRIUM: because it contains lymphatic, vascular, and nerve supply Layers of the Dermis a) Papillary Layer -upper dermal region with finger-like projections -contains: >papillary loops (provide nutrients to the epidermis) >Pain receptors b) Reticular Layer – deepest skin layer – contains BV, sweat glands, and deep pressure receptor (Pacinian corpuscles) – abundant phagocytes are located – as one ages, depleted collagen and elastic fibers -collagen for TOUGHNESS OF EPIDERMIS – Elastic fiber for SKIN ELASTICITY 3) SUBCUTANEOUS FAT/ HYPODERMIS – AKA adipose layer – Functions: * S ource of energy * Hormone metabolism * Insulation from extreme hot and cold Cushion to trauma -specialized layer of connective tissue -absent in the: eyelids, scrotum, areola, tibia ASSESSMENT OF CLIENTS WITH INTEGUMENTARY DISORDERS A) SUBECTIVE DATA HISTORY TAKING – assess for pre-existing factors 1) Chief complaint (if Derma conditions already exists) – Assessment on itchiness, dryness, rashes, lesions, ecchymosis, lumps & mass – Changes in skin, hair, and nails – Onset of the condition – Other accompanying symptoms with known cause (pain, fever, swelling, redness) – Alleviating factor such as cold weather 2) Past Health History – Hx of previous derma disease Previous trauma and symptoms; interventions – Other systemic illnesses relevant to the skin such as immunologic, endocrine, vascular, renal, or hepatic conditions – Age of onset – Particular season/month of the year – Treatment done – Immuniza tion status – Recent exposure to insects/childhood diseases 3) Known exposure to communicable disease (school, neighbourhood) 4) Travel to foreign countries/places – possible environmental factors that the patient is exposed to Ex. Poison ivy 5) Medications currently being taken/ has recently finished – Photosensitivity drugs- causes sunburn-like rashes in areas of exposureEx. Phenothiazides Tetracyclines Diuretics Sulfonamides – topical preparations containing derivatives of ingredients which are known as sensitizing Ex. Neomycin Ethylaminobenzoate/ benzocaine Diphenhydramine HCl 6) Occupation and recreational activities – exposure to irritants and chemicals either in the home or environment Ex. Prolonged exposure to the sun Unusual cold exposure 7) Allergies – medications or foods – assess if after ingestion, complains of itchiness, burning, or eruption of rashes – substances that cause local, skin irritations/lesions with di rect contact Ex. Textile, Metal (Ni), Wool Allergic reaction could trigger skin discoloration & eruption of rashes, skin irritation *oral corticosteroids which may cause Acne breakouts, Thinning of the skin, Stretch marks, and Other systemic manifestations if this is used at high dose or routinely 8) Family health history – Family lifestyle and living environment – Genetically transmitted Derma conditions such as: * Alopecia * Psoriasis * Atopic dermatitis – Systemic diseases with derma manifestations such as: * DM * LE * Blood dyscrasia 9) Habits (the patient as an individual) – hygiene practices – products/cosmetics use – changes in clothing or bedding diet (sufficient intake of nutrients like H2O, vitamins and dietary fats) -Exercise -Sleep patterns which affect circulation, nourishment, and repair of the skin B) OBECTIVE DATA – appraise the entire skin surface on head-to-toe including oral mucosa – appraise thoroughly †“ use INSPECTION, PALPATION, OLFACTION PHYSICAL APPRAISAL 1) Color – areas of irregular pigmentation (hypo/hyperpigmentation) – Paleness/pallor – Cyanosis – Jaundice – Assess sclera for a very dark person 2) Texture – palpation (stroke the patient with the fingertips lightly to assess texture) – NORMAL: Smooth, Soft, Resilient, No areas of lumps, No unusual hickening/thinning 3) Moisture – hydration level of the skin for both wetness(Fluidity) and oiliness(Sebum) – assess INTERTRIGINOUS AREAS (parts which have skin-to-skin contact like axilla & groin) – NORMAL: Well-hydrated but not excessively moist 4) Temperature – use the dorsum of the hand – compare hypothermia/hyperthermia with the area on the opposite side – NORMAL: uniformly warm 5) Turgor – skin’s elasticity – the time it takes for the skin and underlying tissue to return to its original contour after being pinch ed up (usually on the abdominal area) -older individuals: v skin turgor – NORMAL: 3 sec ) Odor – NORMAL: free from pungent odors – usually present in the axilla, skin folds, open wounds related to presence of bacteria in the skin 7) Presence and characteristics of Lesions MANIFESTATIONS OF SKIN DISORDERS 1) LESIONS PRIMARY LESIONS– first lesions to appear on the skin and has a recognizable structure in response to some changes in the external and internal environment A. Erythema – redness and inflammation (skin/mucous membrane) – result of dilation and congestion of superficial capillaries – Ex. Nervous blush, Sunburn B. Macule – unelevated change in color – flat – 1mm-1cm – circumscribed Ex. Freckles, measles, petechiae, flat moles PATCHES – larger than 1 cm and may have irregular shape – Portwine birthmarks, Vitiligo (White Patches) C. Papule – small, circumscribed, solid elevation, 1 mm-1cm – Ex. Warts, Acne, Pimple, Elevated moles D. Vesicle – circumscribed round or oval – thin translucent mass – filled with serous fluid or blood – 1mm-1cm – Ex. Herpes simplex, Early chicken pox, Small burn blisters E. Bullae – Large blisters (larger than vesicle) – Ex. 2nd degree burn, Herpes simplex (Big) F. Pustule – Vesicle or bullae filled with pus – Ex. Acne vulgaris, Impetigo G. Nodule elevated solid hard mass that extends deeper into the dermis than a papule – have a circumscribed border – 2cm – irregular border – Ex. Malignant melanoma, Hemangioma I. Wheal – reddened localize collection of edema fluid – irregular in shape – varies in size – Ex. Hives, Mosquito bites J. Plaque – raised lesion formed from merging of papules and nodules – >1cm – Ex. Psoriasis, Rubeolla K. Cyst – elevated, encapsulated, fluid-filled mass arising from SC tissues – 1cm or larger – Ex. Sebaceous cyst, Epidermoid cyst L. Comedo – accumulation of sebum and keratin within a hair follicle – occurs due to clogging 2 types: Open comedo (black head) Closed comedo (white head) M. Telangiectasia – permanent dilation of capillaries in the skin SECONDARY LESIONS – develop/occur if changes occur in the primary lesions – relate to client’s health status, environment, & status of the epidermal layer – possible causes: Scratching, Rubbing, Medications, Natural disease progression, Process of involution or Healing A. Crust (SCAB) – a rough dry area formed by the coagulation of drying plasma or exudates – could be a dried sebum, serum, blood, or pus on skin surface producing a temporary barrier to the environment – Ex. Impetigo, Eczema, Healing of burns/LesionsB. Scales – dried fragments of sloughed epidermal cells – irregular in shape an d size – colors vary from White, Tan, Yellow, to Silver -Ex. Dandruff, Dry skin, Psoriasis C. Ulcer – depressed lesion in which entire epidermis and upper layer of dermis are lost – could be due to trauma or tissue destruction – irregular in shape and exudative – Ex. Stasis ulcer D. Fissure – deep linear split through epidermis into dermis – Ex. Tinea pedis E. Scar – Mark left on skin after healing F. Hyperkeratotic Plaque (Callus/ â€Å"Kalyo†) – excessive thickness of the epidermal layer caused by chronic friction or pressure ) PRURITUS – unpleasant skin sensation that provoke the desire to scratch – Skin, Certain MM, Eyes, Perineum, Nostril, External ear canal – r/t mechanical stimulation of chemical mediator – r/t systemic disease – Chicken pox, Severe liver disease, DM , Uremia 3) PAIN – stimulation of Nociceptor 4) SWELLING – due to release of chemical mediato rs 5) REDNESS – due to hyperemia 6) SYSTEMIC ss – fever (release of pseudothermoregulators), leucocytosis (^WBC) DIAGNOSTIC TESTS 1) LAB TEST a. Tzanck smear – Named after Arnault Tzanck – Aka Chickenpox test/ Herpes skin test A microscopic assessment of fluid and cells from vesicles or bullae – Top of vesicle is cut with the use of scalpel then a smear is taken from the base of vesicle using the scalpel – Differentiates vesicular disorders – may identify a virus (-) reaction – vesicle from burns (+) H. Simplex or Acantholytic cells; varicella virus; multinucleated giant cells b. KOH test – done if the causative agent is suspected to be a fungus – the specimen (smear) is treated with 10-20% of KOH before microscopic study Normal or (-) result shows no Fungi (No dermatophytes/yeast) c. Culture – done to identify the specific microorganisms to determine specific antibiotic treatment 2) SKIN BIOPSY – ex . Dermal punch biopsy – a sample of skin tissue is removed, processed, & examined under a microscope – 4 types: 1. Excision Biopsy – entire skin area is cut 2. Punch Biopsy – a small cylinder of skin is removed 3. Shave biopsy – outermost part of a lesion is shaved off with a scalpel 4. Aspiration biopsy – indicated for fluid-filled lesion 3) WOOD’S LIGHT EXAMINATION – Skin is viewed under UV light through a special glass (Wood’s glass ) to identify superficial infections of the skin – Place the patient in a dark room before examination 4) SKIN TESTING used to identify substances causing the allergy – 3 ways: 1. Scratch test – aka Puncture/Prick test – Pricking the skin 2. Intradermal test – Similar to Tuberculin test *DURATION OF TEST FOR BOTH SCRATCH AND INTRADERMAL TEST IS 5-10 MINS OR 15 MINS 3. Patch Test – the allergen is placed on a patch then placed on the skin – D uration: 48 hours (2 days) 4 TYPES OF HYPERSENSITIVITY REACTIONS TYPE I (ANAPHYLACTIC/IMMEDIATE HYPERSENSITIVITY) – may involve the skin (disorders such as urticarial or eczema), eyes (conjunctivitis), nasopharynx (rhinorrhea/ rhinitis), bronchopulmonary tissues (asthma), GIT (gastroenteritits) rxn may range from minor inconveniences to death (r/t bronchopulmonary constriction-vO2) – takes 15 to 30 minutes from the time of exposure – delayed onset of type I = 10 to 12 hours – mediated by Ig E – primary cell components : Mast cell and Basophil TYPE II (CYTOTOXIC HYPERSENSITIVITY) – may affect variety of organs and tissues – reaction time: minutes to hour after exposure – mediated by Ig G and Ig M – ex. Drug-induced haemolytic anemia Granulocytopenia Thrombocytopenia TYPE III (IMMUNE-COMPLEX HYPERSENSITIVITY) – the type of reaction is considered as GENERAL – ex. Serum sickness may involve individual organ suc h as the skin (SLE and Arthus reaction), kidneys, lungs, blood vessels and joints – reaction time: 3 to 10 hours – mediated by soluble immune complexes particularly Ig G TYPE IV (CELL-MEDIATED/ DELAYED TYPE) – ex. Mantoux test (PTB test), PPV test, tuberculin test – 48 to 72 hours (2 to 3 days) II. SKIN DISORDERS A. DERMATITIS/ECZEMA – Inflammation of the epidermal layer – Rashes are characterized by itching and redness Types: I. Contact Dermatitis – Inflammatory reaction either caused by Allergens or Irritants – utilize PATCH TEST to identify the cause – 2 TYPES BASED ON ETIOLOGY: Irritant Contact Dermatitis – Most common – There is no allergic reaction but there is inflammation that occurs because of either a PHYSICAL or CHEMICAL IRRITANTS – Manifestations: > Lesions appear sooner > Appear on exposed areas – Ex. Mechanical (glass fiber, wool) Chemical (cleaning compounds, perfume) Physical ( clothing, stuff toy) * Allergic Contact Dermatitis – A Delayed type (TYPE 4) of hypersensitivity rxn from contact with allergens – Immune-mediated response by previously sensitized Lymphocytes to specific antigen (allergen) – Ex. Drugs (Penicillin, Sulfonylamides) Metals (Nickel)Spandex Rubber Bra – MANAGEMENT OF CONTACT DERMATITIS: 1. Topical corticosteroids – use BID for 2 weeks – causes thinning of the skin 2. Oral Antibiotics – if lesions develop into 2’ lesion or if 2’ infection sets in 3. Oral Antihistamines, Topical Antipruritic agents, Colloid oatmeal baths – to control itching – NURSING INTERVENTIONS 1. Avoiding irritants and sensitizing substances 2. Wear appropriate clothing 3. Wear gloves 4. Use mild soap products II. Atopic Dermatitis – Genetically-based skin disorder that is both chronic and relapsing ( bec. it involves type 1 rxn) – Strongly linked with asthma and hay fever Most common in children Immunologic irregularity (Cytokines and inflammatory mediators) v Vasoconstriction of Superficial vessel v vProtective barrier function of the skin – FOCUS OF NURSING CARE in managing atopic dermatitis is geared toward addressing the social and emotional disturbances and sleep pattern disturbance – EXACERBATING FACTORS: * Change in temperature COLD – Dry skin HOT – Vasodilation > Inflammation> Itching & Redness * Other irritants * Physiologic Stress – direct stress to the area * Exercise – loss of H2O > Dryness – MANAGEMENT OF ATOPIC DERMATITIS (SYMPTOMATIC ONLY; NO CURE): 1. Hydrating the Skin Cornerstone of management – Apply moisturizer 3-4x a day to reestablish hydration of the S. corneum 2. Corticosteroid a. Systemic b. Topical * – Educate on: * Proper Application (Only apply to area being affected) * Duration of Use (BID X 2 weeks) * Side effects: Thinning of the skin Jeopardizing the immune sys tem – Application of WET WRAPPINGS – To enhance absorption and – Helps decrease pruritus 3. Protopic ointment (tacrolimus); pimecrolimus (Elidel) – IMMUNOMODULATORS (block T cell activation) – Indication: Moderate to Severe atopic dermatitis – Side effects: Itching, Burning, Irritation for few days Avoid sunlight/ artificial sunlight for prolonged periods (photosensitivity rxn) 4. Antihistamines – for itchiness 5. Antibiotic – if secondary infection sets in III. Seborrheic Dermatitis – Eczematous eruptions typically occur in hairy areas – Sebaceous gland in which there is an increase amount and alteration in the quality of sebum/serum – Usually occurs on Scalp, Eyebrow, Central chest, Face, Genital skin fold – PREDISPOSING FACTORS: 1. Family history of skin diseases 2. Winter months – symptoms usually worsen (drying effect) 3. Over growth of yeast organisms ( secondary to fungal infection) Inf lammatory changes Around sebaceous glands and hair follicles) v Red, greasy scales (Characteristic symptom > scale) – MANAGEMENT: 1. Mild – Tar, Selenium, Zinc, or Ketoconazole shampoo preparations > Have antibacterial effect on the normal flora found at the hair follicles 2. Chronic – Topical corticosteroids > To flatten thick, scaly plaques (SCALP) – Low potency topical steroids/ topical antifungal agents (FACIAL) IV. Stasis Dermatitis – Eczematous eruption common in lower extremities occurring in older persons – PREDISPOSING FACTORS: 1. Varicosities (venous insufficiency) 2. Poor circulation vVenous return (From legs) Substances remain in the tissues v Irritation, brawny colored skin associated with edema v Itching (May or May not occur) v Scratches v Break in the epidermis (Stasis ulcer) v 2’ infection – MANAGEMENT (prevention of predisposing factors): 1. Treatment of peripheral vascular conditions 2. Prevent constriction o f the circulation 3. Treat lower extremity edema * Elevate lower extremity (CI: Cardio/Pulmonary problems) * Compression stockings * Unna boots (bandage application on the lower extremities) 4. Topical corticosteroids – To address itching and scratches V. Lichen Simplex Chronicus Usually occurs in the Wrist, Ankles, and Back of the skull (Easily reached) – A localized, well-circumscribed eczematous eruption caused by repeated rubbing and scratching – Aka ITCH-SCRATCH CYCLE – PREDISPOSING FACTOR: Stress where scratching becomes habitual and worse at NIGHT – elephant skin B. ACNE – An inflammatory disease of sebaceous follicle marked with comedone, macules, and papules TYPES: I. Acne Vulgaris – Occurs on the Face, Neck, Upper chest, & Buttocks – Common among adolescents (80%) & may occur in adults – PREDISPOSING FACTORS: 1. Stress (activation of hormone production) 2.Heredity (familial tendency of androgen imbalance) 3. En docrine (hormonal imbalances) 4. Diet (free fatty acids) Puberty [^Androgen] (Sebaceous glands undergo enlargement) v Produce sebum v Binds with debris (Keratin, Bacteria, Cell fragments) v Plug hair follicle v Comedo (open/close) v Inflammation (Papules, Pustules, Nodules, Cyst) – MANAGEMENT: 1. Topical Benzoyl Peroxide Retinoids Retinoid-like drugs such as Adapaline, Tretinoids, Azeleic acid Antibiotics such as Clindamycin, Erythromycin, & Sulfa-based agents *Don’t self-medicate 2. Systemic Antibiotic – indicated for inflammatory acne lesionsIsotretinoin (Accutane) – vitamin A analog – Side effx: Dry lips & conjunctiva, and skin hairloss, muscle ache, photosensitivity, mood disturbance – prevents pregnancy, ^Risk of birth defects 3. Intralesional therapy – NURSING CARE: 1. Keep hands and hair away from face 2. Avoid exposure to oil and greases a. Eat well-balanced diet b. Wash face 2 or 3X a day with mild cleanser c. Use only water- based cosmetics II. Acne Rosacea – Characterized as a RED facial rash which mostly affect 30-60 y/o – It has both vascular and acne component – Chronic, localized eruption with vascular and acne characteristic – PREDISPOSITION: . Affects women more than men ( S/S is more severe in female) 2. Fair complexion individuals are more inclined 3. Familial predisposition – CHARACTERISTICS: 1. Red papules (sometimes pustules) – usually located on nose, forehead, cheeks, chin, rarely involves trunk and upper limbs 2. Blushing or flushing (â€Å"Red face†) – telangiectasia 3. Dry and flaky facial skin 4. Enlarged unshapely nose with sebaceous hyperplasia (the pores will become prominent) and rhinophyma (fibrous thickening) 5. Eye symptoms – eyelid inflammation/ conjunctivitis *Appearance of Lesion: DOME-SHAPED (no black/white heads; no deep cyst/lumps) MANAGEMENTS: 1. Antibiotics (Tetracycline) including doxycycline and minocycline – Duration : 6-12 weeks – to reduce inflammation (redness, papules, pustules and eye symptoms) 2. Topical: metronidazole/ Azeleic acid cream or lotion – applied 2x a day directly to the affected area 3. Nutraceuticals / clonidine – ? -2 recepto agonists > reduce vasodilation > vflushing/redness in the area 4. Anti-inflammatory drugs (diclofenac) – to reduce discomfort and redness on the affected skin – NURSING INTERVENTIONS: 1. Avoid oil-based facial creams 2. Use water-based make-up 3. Never apply a topical steroid (to the rosacea) . Protect yourself from the sun. (Use light oil-free facial sunscreens) 5. Keep your face cool: minimize your exposure to hot or spicy foods, alcohol, hot showers and baths and warm rooms. C. PSORIASIS – A genetically determined, chronic, epidermal, proliferative, not curable dse *control fast cellular proliferation – aka PAPULO-SQUAMOUS LESION > scaly in characteristic – a chronic, recurren t, erythematous inflammatory disorder involving keratin synthesis – History: 1841 – Viennese dermatologist known as Ferdinand von Hebra coined the term psoriasis from Greek word â€Å"psora† which means â€Å"to itch† – INCIDENCE:Men and women are equally affected Occurs in all ages but is less common among children and elderly Commence at early adulthood (18-24) Increased incidence among Whites Decreased among Japanese, American Indians, West African origin – exacerbated by several factors – manifestations usually appear between 15 and 35 years old – CAUSE: unknown But with high link to alteration in cyclic nucleotide and possible immunologic abnormality – CONTRIBUTORY FACTORS: 1. Immune-mediated condition – The condition is believed to be caused by faulty signals in the body’s immune system – the body tends to overreact and accelerate the growth of skin cells the T cells abnormally trigger inflamma tion in the skin (accelerates skin cells to grow faster and to pile up on the outer surface of the skin> the skin does not desquamate but piles up) *Normally, skin cells mature and sheds off every 28-30 days Cytokines (Lymphokines) v ^Platelet, Neutrophils, Basophils v Release of Histamine v Inflammation 2. Genetic – It has been appreciated by physicians that it occurs in families – high rates among monozygotic twins – known to be linked with inherited genes or other immune-mediated conditions – when both parents have psoriasis, a child may have 40% probability of developing the disease

America In The 19Th Century Essays - Labour Relations, Free Essays

America In The 19Th Century Essays - Labour Relations, Free Essays America In The 19Th Century In colonial America, most manufacturing was done by hand in the home. Some was done in workshops attached to the home. As towns grew into cities, the demand for manufactured goods increased. Some workshop owners began hiring helpers to increase production. Relations between the employer and helper were generally harmonious. They worked side by side, had the same interests and similar political views. The factory system that began around 1800 brought great changes. The employer no longer worked beside his employees. He became an executive and a merchant who rarely saw his workers. He was concerned less with their welfare than with the cost of their labor. Many workers were angry about the changes brought by the factory system. In the past, they had taken great pride in their handicraft skills; now machines did practically all the work, and they were reduced to the status of common laborers. In bad times they could lose their jobs. Then workers who would accept lower wages might replace them. To skilled craft workers, the Industrial Revolution meant degradation rather than progress. The Industrial Revolution was dawning in the United States. At Lowell, Massachusetts, the construction of many mills and factories began in the early 1800s. Factory owners were in desperate need of workers, and as most jobs in these factories required neither great strength nor special skills. In turn the owners thought women could do the work as well as or better than men. In addition, they were more compliant. The New England region was home to many young, single farm girls who might be recruited. The only thing that hindered many from working was the belief that sooner or later factory workers would be exploited and would sink into hopeless poverty. Economic laws would force them to work harder and harder for less and less pay. Factory workers were able to persuade the women to work by building decent houses for them to live and adult supervision to look after them. They were encouraged to go to church, to read, to write and to attend lectures. They saved part of their earnings to help their families at home or to use when thy got married. Faced with growing competition, factory owners began to decrease wages in order to lower the cost-and the price-of finished products. They increased the number of machines that each girl had to operate. In addition, they began to overcrowd the houses in which the girls lived. All of this to save as much money as they could. This caused many to leave and others to hold protests or strikes. As the factory system grew, many workers began to form labor unions to protect their interests. Labors tactics in those early times were simple. Members of a union would agree on the wages they thought were fair. They pledged to stop working for employers who would not pay that amount. They also sought to compel employers to hire only union members. In the next few decades, unions campaigned for a 10-hour long working day and against child labor. Meanwhile trade unions were joining together in cities to form federations. A number of skilled trades organized national unions to try to improve their wages and working conditions. The efforts brought about many strikes and protests. It was a fact; things were changing in America. Some people liked it and others felt they were going to be thrown out and de-skilled. Unions and protests proved to be successful in many cases but nothing could change the fact that this nation was involving to one large factory.

Why buy when you can build essays

Why buy when you can build essays Computers have revolutionized the world, as we know it. They have been of means of improvement of life from Aeronautics to Zoology (A Z), and a plethora of other fields as well. Computers have been the backbone of technological advancement and organization necessary for this knowledge explosion of the 21st century. However, what do we owe most of the driving force behind the eruption in computer advancement? Would you guess the video game? Thats right the good ole video game. Could you have ever guess that Ataris pong would be a major contributor to the rapid acceleration in computer technology. I began to get into computers in 1995 and paid a sum of $1500.00 for my first custom built PC. If I recall it was a 486 DX2 80 IBM Clone with 16 Megs of Ram, I even splurged with a luxurious 15-inch monitor, all built by a 16 year old high school student. I couldnt believe it but he brought it to my house and set it up and I was off on my journey. I purchased my next pc from the not so beloved Best Buy department store, where the sales reps where quick to tell me that the unit I wished to purchase was fully upgradeable, they failed to tell me however that it was limited to the memory only. All other components were integrated (built onto the motherboard). Realizing that the only way I could know what was going on, was to jump off into this process of building my own system. The purpose of this paper is to inform you that it is possible for you the reader as well. Let me wet your appetite, that in building your own personal computer you can save hundreds of dollars at least that was the case 5 or so years ago. Now companies like Dell and Compaq can offer complete systems for less money. This is what the experts of PC Mechanic have to say: If you go to buy a pre-built PC by HP or Compaq, they are fine. But, keep in mind that, often, PC manufacturers reduce price by using lesser quality parts....