Saturday, May 23, 2020

Do Children Need Compulsory Sex Education in Schools

Do Children Need Compulsory Sex Education in Schools Today all we hear about is growing quantity of abortions, kids getting pregnant, all kinds of sexual transmitted diseases being spread. Sexuality-connected problems are on the rise. What we need to think about is the cause and possible ways of changing the situation. Most people think that if there was more information on sexual relations, the number of these cases could probably be reduced to minimum. Sex education lessons can be the best solution to that. Teenagers would be able to get reliable information on the means of contraception, start of sexual life, abortions, venereal diseases and so on. On the other hand, all that stuff is very personal, and the way it is represented can have a huge impact on the kids future relationships and sexuality. It is very important to have the right way to deliver the information; moreover, there should be the right person to do it. Of course, you wont let a stranger iron you knickers, so how can you let him teach your child what the sex is. The appropriate teacher should have strong moral values, background in education or simply be a good and wise person. When most adults hear about sex education, the first thought that comes to their minds is â€Å"modern teenagers know more than we do about that†. I know one lady who used to think that she couldnt get pregnant when the moon was fool. However, even her small 5-year-old son proves she is wrong. But as for teenagers, their image of what is wrong and right when it comes to sex is based on very fragmentary information and mostly on gossips they spread among each other. Even though our society claims to be open-minded, most of the kids feel too embarrassed to come to adults with their doubts when it comes to sex. You will find significant dissimilarities on the problem of abstinence. 15 % of people in America think that colleges should instruct just about abstinence from sexual activity and cannot showcase the way to acquire and make use of condoms along with other pregnancy prevention measures. Moreover, sometimes institutions are expected to teach about homosexuality and correct attitude toward this fact. But can you be 100% sure that the opinion of the teacher who is leading the course will be equal to the one you have in your family? Never. Sex education lessons are definitely better than no information on this topic at all. It is wise to begin conversations on sexual topics at early age, in easy approaches, and after that let the kids find out more year after year. By doing so, the kids will believe that this is an organic and common knowledge, issues theyve know for a long time. But in my mind, it would be more effective if that knowledge came from the person whom a teenager can trust – like parents or close relatives.

Monday, May 11, 2020

Homeless Children Essay - 3565 Words

Introduction In the United States, 1.5 million children are homeless. 1.5 million children are without adequate shelter, nourishment, healthcare, or education. When a child is homeless, it is not just a house that they are without. They are more likely than other children to experience hunger, constant illness, mental disorders, and developmental delays.1 Being homeless negatively affects a child’s overall welfare and ability to thrive within their community throughout their childhood and into their adulthood. It impedes their ability to live a healthy life and gain an adequate education, as children who are homeless face far more obstacles, such as increased health risks and lack of educational opportunities, than children who aren’t†¦show more content†¦Preventing and ending child homelessness must be a priority for both the U.S. government and the U.S. community. The Affects of Child Homelessness on Health, Hunger, Disorders, Development, and Education â€Å"Homelessness itself can make children sick.†2 Being homeless has an extremely adverse and detrimental effect on a child’s health and well-being. Children who are homeless are more susceptible to health risks because of their poor environment and impoverished lifestyle and have less access to healthcare. The increased amount of health risks plus the lack of healthcare results in the growth of serious illnesses which often go untreated. Risks often begin before a child is born, as it is likely that the mother has been living in poverty, under-nourished, abusing substances, and not receiving adequate prenatal care.3 Children who are born in this condition have a lower birth weight and poor immune system, often suffering from anemia, meaning that they will need specialized care from the start. As they age, children cannot fight off disease and illness as well as non-homeless children, they are two times as likely to visit the hospital in one year, have respiratory in fections, and experience more chronic health problems overall.45 Because homeless children tend to stay in poor conditions and unsafe environments, they are more prone to suffer from lead poisoning, which in its mostShow MoreRelatedHomeless Child Education : Homeless Children1678 Words   |  7 PagesHomeless Children Education Several factors severely compromise the ability of homeless children to succeed in school, as I discovered in interviews with 277 homeless families in New York City in 1988. Barriers to the success of these children include health problems, hunger, transportation obstacles, and difficulty obtaining school clothes and suppliesà ¢Ã¢â€š ¬Ã¢â‚¬ all of which are linked to low attendance rates (Rafferty and Rollins 1989). 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The truth is, the current homeless population consists of runaway adolescents, single adult males or females, battered women and over one million homeless families with children – typically headed by a female parent. To be homeless means that one’s primary residence is a public or private shelter, emergency housing, hotel, motel, living with family or friendsRead MoreHealth Disparities Among Homeless Women And Their Children1015 Words   |  5 Pages Health Disparities Among Homeless Women and Their Children Geraldine Barron Denver School of Nursing Cohort C â€Æ' Health Disparities Among Homeless Women and Their Children Health care disparities is known for its vulnerability among low income and minority status populations. Of most concern are the vulnerable population subgroups known by the harsh environments in which they live, their endangered and unhealthy life styles and the illnesses and injuries that afflict them. â€Å"These subpopulations

Wednesday, May 6, 2020

Prevention Postoperative Vision Loss Study Health And Social Care Essay Free Essays

Postoperative ocular loss ( POVL ) after non-ocular surgery is a rare, but lay waste toing complication that has been associated legion types of surgeries and patient hazard factors. Stoelting and Miller ( 2007 ) estimate the incidence of POVL from 1 in 60,965 to 1 in 125,234 for patients undergoing noncardiac, nonocular surgeries, from 0.06 % to 0. We will write a custom essay sample on Prevention Postoperative Vision Loss Study Health And Social Care Essay or any similar topic only for you Order Now 113 % in cardiac surgery patients with cardiorespiratory beltway and 0.09 % of prone spinal column surgeries. The demand to understand the causes of POVL and the preventive steps that can be taken to decrease the likeliness of vision loss happening are deductions for anaesthesia suppliers and patients likewise. Consequences of POVL non merely affect the enfeebling impact on the patient ‘s quality of life, but besides the legion medical and legal branchings for the anaesthesia suppliers. Although POVL is considered a comparatively uncommon complication, the demand to understand the frequence of POVL and related hazards and causes are of import issues. In 1999, the American Society of Anesthesiologists ‘ ( ASA ) Committee on Professional Liability established the ASA Postoperative Visual Loss Registry to better understand the job ( Stoelting A ; Miller ) . Reports of loss of vision have occurred after assorted non-ocular related surgical processs. Some illustrations of these are cardiorespiratory beltway, spinal surgery, hip arthroplasty, abdominal processs, craniotomies and processs of the caput and cervix ( Morgan, Mikhail A ; Murray, 2006 ) . The three recognized causes of postoperative ocular loss are ischaemic ocular neuropathy ( ION ) either anterior ( AION ) or posterior ( PION ) , cardinal retinal arteria occlusion ( CRAO ) , cardinal retinal vena occlusion ( CRVO ) and cortical sightlessness. Ischemic ocular neuropathy is the most often cited cause of postoperative ocular loss following general anaesthesia with cardinal retinal arteria occlusion from direct retinal force per unit area as a lesser cause. ( Stoelting A ; Miller, 2007 ) . Factors that have been identified as possible perioperative factors for ION include drawn-out hypotension, extended continuance of surgery, prone placement, inordinate blood loss, unneeded crystalloid usage, anaemia, and increased intraocular force per unit area from prone placement. Patient related hazard factors associated with ION include diabetes mellitus, high blood pressure, morbid fleshiness, coronary artery disease, and smoke. ( Stoelting A ; Miller, 2007 ) . Literature Review Several retrospective surveies have examined the natural history of POVL after nonocular surgery in an effort to place patients at hazard for POVL and cut down surgical hazard factors. The first, from 1996, Roth, Thisted, Erickson, Black, and Schreider reviewed oculus hurts in 60,985 patients undergoing anaesthesia between 1988 and 1992. The overall incidence of oculus hurt in this survey was 0.56 % . Duration of anaesthesia was found to be an independent hazard factor for oculus hurt. The hazard was further increased with general anaesthesia and endotracheal cannulation and in patients undergoing surgery of the caput or cervix. The bulk of the patients with oculus hurts had corneal scratchs or pinkeye. Merely one patient was found to hold POVL as a consequence of ION. This patient underwent lumbar spinal merger and the writers noted that calculated hypotension and hemodilution were used. In 1997, Stevens, Glazer, Kelley, Lietman and Bradford focused on ophthalmic complications specifically after spinal surgery. Of 3450 spinal column surgeries that the writers reviewed, seven ( 0.2 % ) instances of ocular loss were identified. Four ( 57 % ) of the seven patients suffered ION of which three had PION. Two of the seven patients had occipital infarcts, both of which were embolic. The 7th patient had a CRVO without associated periorbital hydrops or force per unit area mortification. The surgical times ranged from 3-8 hours in these patients. The estimated blood loss ranged from minimum to 8.5 litres. A 3rd survey, besides conducted in 1997, by Myers, Hamilton, Bogoosia, Smith and Wagner, collected patients by beging studies from the Scoliosis Research Study of POVL after spinal surgery every bit good as 10 good documented instances from the spinal literature. They found that longer surgical times and important blood loss were positively correlated with POVL. However, the haematocrit and blood force per unit area degrees were no different than in age matched controls without POVL. Twenty-three of the 37 ( 62.2 % ) patients had ION, 9 ( 24.3 % ) had CRAO, 3 ( 8.1 % ) had occipital infarcts and the staying three did non hold clear diagnosings. The writers concluded that reduced blood force per unit area is by and large good tolerated by patients, but that consideration should be given to set uping a minimal systolic blood force per unit area for each patient. In add-on, the writers recommended presenting long processs and protecting oculus place. More late the American Society of Anesthesiologists POVL register analyzed 93 instances of POVL happening after spinal surgery. The instances were collected via voluntary entry from1999 through June 2005. Eighty three ( 89.2 % ) of the patients had ION and the staying 10 ( 10.8 % ) patients had CRAO. All of the patients were placed prone. Surgical clip exceeded 6 hours in 94 % of the instances. In 34 % of instances the average arterial force per unit area or systolic blood force per unit area ( SBP ) was reduced to 40 % or more below baseline. The average haematocrit was 26 % with 82 % of patients losing one or more litres of blood. All of the patients with CRAO used head restraints alternatively of Mayfield pins and were somewhat younger than the ION patients ( 46 vs. 50 old ages ) . In add-on, 66 % of the ION patients had bilateral ocular loss and none of the CRAO patients did. Ipsilateral periocular injury was more often seen in the CRAO patients ( 70 % vs. 1 % ) than in ION patie nts. They once more identified the hazard of prone placement, blood loss and long surgical times. However, they were unable to definitively delegate a function to hypotension in POVL ( Lee, Roth, Posner, Cheney A ; Caplan, 2006 ) . Another survey examined the published instance studies of ION after spinal surgery in the prone place. The writers found that PION was more often reported than AION ( n = 17 vs. n = 5 ) .3 In the bulk of the instances, some degree of hypotension and anaemia was reported. However, the writers note that the degree of blood force per unit area and anaemia sustained by these patients would be considered acceptable in most anesthesia patterns. Furthermore, the writers observed that average surgical clip was over 7.5 hours. Strategies the writers suggested to avoid postoperative ION included careful usage of deliberate hypotension tailored to the patient ‘s hazard degree and theatrical production of long, complex processs ( Ho, Newman, Song, Ksiazek A ; Roth, 2005 ) . Case Study A 62 twelvemonth old male was scheduled for a three degree lumbosacral laminectomy and diskectomy ( L2 through L4 ) . He had a history of high blood pressure, fleshiness, stomachic reflux disease, myocardial infarction 5 old ages antecedently with two stents placed in the LAD, and a 50-pack-year smoke history. The patient had a surgical history of bilateral carpal tunnel release and ventral hernia fix with mesh. No old anaesthetic complications were noted. Current medicines included omeprazole, and Lopressor. He had no known drug allergic reactions. The patient ‘s physical scrutiny revealed an afebrile patient, pulse 67, respirations 16, blood force per unit area 162/92, SpO2 of 95 % on room air. The patient ‘s general visual aspect was a reasonably corpulent adult male in no evident hurt. Airway appraisal revealed a category 2 Malampatti, natural teething and normal cervix scope of gesture. Laboratory findings were hemoglobin 14.4 and hematocrit 40 % . All other haematol ogy, curdling profiles were normal. EKG was normal sinus beat and Chest X ray was normal. The patient underwent a criterions initiation and cannulation. He was turned prone, appendages were good padded and airing and critical marks were satisfactory. The process lasted for 3 hours and during a period of moderate blood loss, the patient had a period of hypotension enduring for about seven proceedingss. His blood force per unit area averaged 95/55 for about 30 proceedingss and for five proceedingss blood force per unit area averaged 80/45. Fluid resuscitation totaled 3 litres of crystalloid. Estimated blood loss was 550ml with a postoperative haematocrit of 29 % . On waking up, the patient did non exhibit any marks of orbital hydrops or POVL. The patient stated that vision was present in both eyes and his neurologic scrutiny was normal. Schemes for bar of POVL ION is the most common cause of POVL and may be designated as anterior ( AION ) or posterior ( PION ) depending on the location of the ocular nervus lesion. Ocular loss of AION is due to infarction at watershed zones within the ciliary arterias of the choroid bed of the ocular disc which flows into the choriocapillaris. The choriocapillaris is an end-arterial circulation with small transverse circulation and may be prone to ischemia. The posterior ocular nervus is served by subdivisions of the ocular arteria and the cardinal retinal arteria ; blood flow to the posterior ocular nervus is significantly less than the anterior ocular nervus ( Lee, et Al, 2006 ) . Many interventions have been attempted to change by reversal POVL, including anticoagulation, antiplatelet therapy, retrobulbar steroid injections, norepinepherine extracts ( to better perfusion force per unit area ) , diphenylhydantoin, osmotic water pills, blood replacing, carbonaceous anhydrase inhibitors, steroids and ocular nervus decompression. The most common forecast of POVL is small return of ocular map ( Lee, et al 2006 ) . ION should be suspected if a patient complains of painless ocular loss during the first postoperative hebdomad and may be noticed foremost on rousing from slumber, when intraocular force per unit area is highest. Pressing opthamologic audience should be sought to analyze the patient comprehensively, set up the diagnosing, and urge farther rating and therapy. Even though forecast tends to be hapless, prompt intervention may be the lone opportunity at retrieving vision ( Ho, Newman, Song, Ksiazek, A ; Roth, 2005 ) . Obvious turning away of force per unit area on the oculus is a primary scheme to avoid ION. However, POVL has been noted in patients besides in the supine place. Current anaesthesia supplier instruction refering turning away of compaction of a patient ‘s eyes has made it a rare intraoperative event. Possibly nore good is keeping acceptable blood force per unit area and haematocrit, particularly in patients with multiple hazard factors. More than one-half of the patients entered in the ASA POVL database were positioned prone and were noted as holding important facial puffiness. When associated with systemic hypotension, optic perfusion force per unit area is diminished. Decreased haematocrit in the presence of other hazard factors seems to patients at hazard for ocular loss. Induced hypotension and hemodilution during prone spinal column instances should be avoided when patients have risk factors for POVL ( Lee, et Al, 2006 ) . How to cite Prevention Postoperative Vision Loss Study Health And Social Care Essay, Essay examples