Disaster Relief Assessment Essay Example | Topics and Well Written Essays - 250 words

Disaster Relief Assessment - Essay Example Natural disasters include earthquakes, floods, volcanic activities, tornadoes, cyclones, typhoons and severe storms. There should be the proper planning of the goals and the communication facility must be improved greatly. Proper task forces should always be ready who can tackle the situation in their own innovative way. Steps should be taken so that there can be proper thought about the situation by which it will be much easier to represent things that can be done. Theoretical approach can help to take a bigger step when the problem arises. The insurance and healthcare services should be improved so that the emergency situations can be responded effectively (Eisenman et. al. 2007). Disaster relief assessment also includes the development in the telecommunication facilities. The officials should be trained virtually so that they can be able to do things in a proper way and will have the ability to face all types of disasters. Educational programs can be undertaken so that the people can be alert about the various types of diseases and then they can take some minimum steps when they face such situations (Forgette, et. al., 2009).

Environment Research Paper Example | Topics and Well Written Essays - 1500 words

Environment - Research Paper Example The people hunted animals, fished, herded cattle, and grew food. Hence, nature enabled Man’s survival. Modern years have witnessed an increasingly great divide between nature and mankind in part due to a rational development of language that seems to have made its indigenous roots indistinguishable. So the transformation in our relationship with nature throughout history is marked by a development in newer modes of communication and expression. As mankind made its progress towards civilization, he distanced himself from his primitive roots that sought everything from nature. And they developed language so much to erase its historical roots in the natural context. Hence, although language traces its origination from animism, it cannot be returned to its original form because human developments over the years have contributed to changes that cannot be reverted back to basic pictorial communication. Philosophers have sought to explain the downfall of nature and the human being’s alienation of ecological world around us. Starting from Greek thinkers till the present times, philosophers have attempted to find the reasons for Man’s isolation is his links with nature. It is thought that Man’s changing ideas regarding the world including his emphasis on non-sensorial realm resulted in society’s mistrust of sensory experience thus increasing the distance between Man and nature. The gap between Man and nature is considered to have caused by the mental landscape and context that was created by civilizations in order to harbor the separation of Man from nature. Two of the oldest civilizations that led towards separation are the Hebrew and the Greek civilizations. The Hebrew civilization, according to Abram, planted the seeds of spirituality and religiosity as a dominant concept over nature (95). The Greek civilization on the other hand promoted ideas and phil osophy thereby raising the divide that eventually led to the estrangement

Principles of Infection Control in the Operating Department

Principles of Infection Control in the Operating Department Infection control is a vital part of everyday life in Operating theatre departments across the world. It is used to ensure patient and staff safety throughout surgical procedures and patients stay in a hospital. Key issues that effect many if not all trusts across the UK include Methicillin Resistant Staphylococcus Aureus (MRSA) which is found mainly on the skin and in nasal areas of patients. This bacterium has become immune to antibiotics over the years and creates big problems in hospitals all over the world (NHS, 2009). Another infection, which has swept through our hospitals, is Clostridium Difficile (C-Diff). This is a naturally present bacteria which people hold in their gut but when a patient is given antibiotics for another symptom it can multiply the C-Diff bacteria and cause symptoms such as diarrhoea and fever (NHS, 2008). There are many more infection control issues surrounding hospitals and private healthcare trusts across the world. This essay aims to outline good prac tice in preventing some of these infection control issues. There is a set of standard precautions to adhere to when carrying out any surgical procedure. This was originally recommended when a patient was known or to be suspected of being infected with blood pathogens Deane (2000:39). In operating departments today every surgical procedure follows these protocols to ensure the safety of staff and others who maybe exposed during a patients stay in hospital. It is also the responsibility of the Operating Department Practitioner (ODP) to adopt any Personal Protective Equipment (PPE) supplied by the trust to prevent contamination of any kind. Deane (2000:39) suggests regular handwashing is important to prevent spread of any resident germs and also to reduce the risk of transferring any germs to patients. Ventilation is also an important aspect of surgical procedures and how it effects infection control and the prevention of spreading airborne pathogens Gilmour (2005:87). In the majority of NHS trusts in the UK the operating department staff will commence an operating list with a cleaning procedure known as damp dusting before any patient enters the theatre. Damp dusting is the cleaning of flat surfaces (e.g. trolley tops, worksurfaces, anaesthetic machines, etc) to remove dust from the perioperative environment prior to the commencement of the operating list (Plumridge, 2008). This is to reduce the risk of infection whilst the patient is undergoing surgery. Standard precautions recommend the use of Personal Protective Equipment for all theatre staff including aprons, masks, gloves, gowns and eye protection (Gilmour, 2005:91). Each practitioner or healthcare worker will assess the risk of contamination and the appropriate PPE will be applied. This is to ensure safe practice for all theatre staff and to keep the team free from contamination. The control of substances hazardous to health (COSHH) regulations came into force in 1989 and requires employers to assess the risk to staff and patients alike being exposed to and handling substances hazardous to health including blood and bodily fluids (Deane, 2000:41). COSHH is maintained by performing regular audits and staff completing risk assessments when potential risks are noted. I also personally believe that Heat Moisture Exchanging Filter (HMEFs) are invaluable to NHS trusts across the UK. These are little devices that attach to the end of the Anaesthetic machine circuits just before the facemask. It works with the heat and moisture from the patients own respiration by changing anaesthetic vaporises from a vapour to a gas. It also heats the gas up so it does not give the patient any trauma going into the lungs cold. They also have a filter inside, which will not allow any sort of passage for bacteria or virus to get into the anaesthetic machine circuit. A new filter will be used for each new patient again avoiding cross contamination (see Appendix 1). The ventilation system inside operating theatres offers a change of air at least fifteen times an hour (Mardell, 2009:272). This prevents microbial contamination infecting vulnerable patients and also diluting expired Anaesthetic gases. The ventilation system works by pushing clean air downwards, which in turn pushes contaminated air away from the surgical field towards the sides of the operating theatre and out of the exhaust panels. There are two main types of ventilation used in operating theatres the first one I discussed which is called Plenum and is the more financially suitable to NHS trusts. The second main ventilation system used is called Laminar flow this system is mainly used in Orthopaedic procedures. The reason for this is because it can offer in excess of 300 air changes per hour therefore drastically reducing any airborne organisms, which can cause postoperative infection for the patient (Technology assessment team, 2001). The ventilation system also provides the heat ing for the theatre. (Mardell 2009:272) claims that there is no ideal temperature that will be correct as it will depend on the type of surgery taking place. When operating on babies or children the temperature will need to be higher than if operating on adults, this is due to children and babies not being able to maintain their core temperature as well as adults. The use of patient warming devices such as Bair huggers and Blood/Fluid warmers should allow the air temperature to be less of a consideration for the patient and allow staff to set the temperature accordingly. Along with the temperature controls most operating theatres will also have a wall mounted control panel which also allows staff to set the atmospheric humidity. The humidity should be set at no more than 60% but no less than 30% as this minimises the potential for bacterial growth and static electricity (Mardell, 2009:273). The surgical field has to be set up sterile and maintain sterility throughout the procedure. This is usually an invisible box approximately 1 metre square surrounding the operating table which consists of the patient, surgeon and scrub practitioner, and must contain as little equipment as possible to avoid de-sterilising anything or anyone in that area. The surgical field is maintained by people only entering when necessary and to announce to the surgical team when doing so to avoid accidental contamination (Beck, 2009). The sterile field is designed to reduce any risk of infection to a patient or to any staff member involved with the procedure. It is achieved by performing a number of safe practices: staff dress and preparation, patient preparation, utilisation of sterile equipment and theatre etiquette during surgery (Parker, 2004:108). Aseptic Non Touch Technique (ANTT) is a form of rigorous handwashing that frees your hands and arms from living pathogenic micro-organisms (Hart, 2007:43). This is a vital part in preparing for a surgical procedure for the safety of your patient. If any member of the surgical team have a poor asepsis technique this could result in a Healthcare Acquired Infection (HCAI) for the patient. Unfortunately nosocomial infections are not a thing of the past and still effect nearly all of our NHS trusts across the UK. (Heritage, 2006) quotes Hospitals are places where sick people go with the expectation that they will get better. Unfortunately, however, there is a risk that hospital patients may become infected because of their stay in hospital. (Nazarko, 2008) quotes Every two minutes a patient acquires a Healthcare Associated Infection (HCAI). Every two hours a patient dies because of a HCAI. These are very scary figures and should make healthcare workers more aware of regular handwashing be tween patients. You can achieve full asepsis by using sterile equipment and ensuring none of your sterile equipment or indeed yourself come into contact with anything non-sterile. Whilst it is impossible to sterilise your hands the surgical scrub serves to minimise the number of pathogens on your hands (Pirie, 2005). A normal hand wash is considered to be inadequate, as it does not remove enough micro-organisms from your skin. Scrubbing up on the other hand is considered to reduce the amount of micro-organisms on your skin dramatically. Scrubbing up is a longer process and is performed more intensively by going from the hands up to just below the elbow. The difference in the two procedures is simply that scrubbing up actively reduces more micro-organisms on your hands and arms than a normal hand washing procedure, which reduces the spread of infection to your patients (Collins Hampton, 2005). Other types of bacteria that are found in operating theatres are called Spores. These differ from normal forms of bacteria in a way that they are much harder to remove from surfaces as they have a hard shell protecting them. The original cell replicates its genetic material, and one copy of this becomes surrounded by a tough coating. The outer cell then disintegrates, releasing the spore which is now well protected against a variety of trauma, including extremes of heat and cold, radiation, and an absence of nutrients, water, or air (Darling, 2009). These can be an extreme problem in operating theatres as some types of spores are released into the air becoming airborne pathogens which can then travel and settle into surgical wounds causing infection in a patient (Wilson, 2006). Waste materials in operating departments are divided into two main categories. One is Domestic waste, which compromises of non-clinical waste, which has not been in direct contact with any blood or body fluids such as paper, equipment packaging and food remains. This waste is usually placed into a black bin liner and disposed of accordingly. The other is Clinical waste which covers all other waste products that has had direct patient contact such as drapes, surgical gowns, gloves and disposable equipment. Swabs should not go into a clinical waste bag until the end of the procedure when they have been checked and accounted for by the practitioner. This waste is usually placed into orange or yellow bin liners and disposed of by incineration. Sharps on the other hand go into there own special bin provided and must never be disposed of in a bin bag in case of an accidental sharps injury to anybody. Infection control is vital in maintaining patient and staff safety alike. It is the responsibility of healthcare professionals as individuals but also working together as a team to carry out the standard precautions set by their trust. Simple things like handwashing between patients and wiping down monitoring leads can hugely reduce the amount of hospital acquired infections for patients. Always check if the equipment you are using is disposable or reusable laryngoscope blades, laryngeal mask airways etc and after usage dispose of them accordingly. When commencing an operating list always carry out your standard precautions for every patient this will help protect you as a member of staff but more importantly it will keep a patient safe. When disposing of waste especially clinical waste ensure there are no tears in the bag and the bin liners have been zip tied at the top to avoid any spillages, which could result in somebody becoming contaminated with any blood or body fluids. Rememb er only to open the hatch at the end of the procedure avoiding any contaminated air being let into the theatre whilst the patient is still undergoing the procedure. This could result again in an infection to the surgical site and cause severe discomfort to the patient post operatively. So always remember the standard precautions are there to protect staff and patients alike. They should be abided by at all times and hopefully we can reduce the rate of infection control dramatically.

The Use of Laughter in Poetry by Langston Hughes Essay -- Biography Bi

The Use of Laughter in Poetry by Langston Hughes Jessie Fauset explains in her essay The Gift of Laughter that black comedy developed not as a method for blacks to make people laugh, but as a necessary emotional outlet for black people to express their struggles and hardships. The "funny man" took on a much more serious emotion than appeared on the surface level. Comedy was one of the few means black people had available to them to express themselves. The paradoxical definition of laughter is applicable to all human beings; the limited means of expression is unique to those in an inferior place in society, such as the black Americans of the Harlem Renaissance. In a sense, what makes the struggles represented by the black comedian comic is the white audience member's ability "to retain mastery over himself and the situation" (Swabey 184). The white audience can laugh at the struggles and hardships on stage because of their refusal to accept the role they have played in the oppressions that caused them. Marie Collins Swabe y also writes in her book Comic Laughter that "By uncovering neglected hypocrisies, illusions, vanities, and deceptions in the behavior of persons and societies...while making us laugh, also removes in part our blindness with regard to certain factual and moral weaknesses in mankind" (11). Generally speaking, comedy makes us aware of certain character flaws. Fauset entertains this idea in her essay by wondering, "...if this picture of the black American as a living comic supplement has not been painted in order to camouflage the real feeling and knowledge of his white compatriot" (161). Whether or not the black comedy of the Harlem Renaissance caused an epiphany for the white audience is not cl... ...nd His Continuing Influence. Ed. C. James Trotman. New York: Garland Publishing Inc., 1995. 119-129. Phelps, Thomas C. "An Introduction to Arnold Rampersad." Langston Hughes: The Man, His Art, and His Continuing Influence. Ed. C. James Trotman. New York: Garland Publishing Inc., 1995. 19-34. Rampersad, Arnold, ed., and David Roessell, assoc. ed. The Collected Poems ofLangston Hughes. New York: Vintage Books, 1994. Simpson, J.A., and E.S.C. Weiner, eds. The Oxford English Dictionary. 2nd Edition. Vol. VIII. Oxford: Clarendon Press, 1989. Swabey, Marie Collins. Comic Laughter. Archon Books, 1970. Tracy, Stephen C. "Langston Hughes: Poetry, Blues, and Gospel--Somewhere to Stand." Trotman, C. James, ed. Langston Hughes: TheMan, His Art, and His Continuing Influence. New York: Garland Publishing Inc., 1995: 51-61.

Epidemiology Of Acne Vulgaris Health And Social Care Essay

My name is Nazar Hussain Malik. I am, presently working as a G.P with a medical group of a Dermatologist and household doctors in Toronto, Canada. Medical installation opens fives yearss a hebdomad from Monday to friday. There are about 1500 dermatology patients go toing per twelvemonth, on either assignment or referral footing. Most of go toing patients have diseases like eczema, acne, skin infections, hair and nails infections, and psoriasis and tegument malignant neoplastic disease. I am go toing dermatology patient ‘s direction. My selected patient name is Nancy ( name changed ) who is a 17 old ages old miss who is populating with her parents. Her female parent is Chinese and male parent is Indian. She was born and raised in Toronto. Her male parent and female parent work together in a departmental shop with an mean income. Nancy has been go toing an art college in the metropolis. Background Epidemiology is defines as the distribution of diseases and associated wellness and unwellness factors that influence the happening of disease at epidemic and endemic level.It is related with environmental and personal factors by topographic point, clip and and polpulation.Epidemiology helps to inform evidence-based medical specialty for placing hazard factors for disease in finding intervention attack. Acne vulgaris is most common disease in Uk and other universe.It is found in over 80 % of adolescence population of different ages. Acne is more common in males than in females. In maturity, acne vulgaris is more common in adult females than in work forces Prevalence of acne in a community sample of 14- to 16-year-olds in the UK has been recorded as 50 % . Acne affects 40 to 50 1000000s peoples in United provinces and 3 to 5 1000000s in Australia. Acne was the showing ailment in 3.1 % of people aged 13 to 25 old ages go toing primary attention in a UK population. Overall incidence is similar in both work forces and adult females, and extremums at 17 old ages of age. The figure of grownups with acne, including people over 25 old ages, is increasing. All races are affected by acne. Cystic acne is prevailing in the Mediterranean part from Spain to Iran. Acne vulgaris is a common chronic pilosebaceous inflammatory disease of face, back and chest. Most of the Patients with acne vulgaris see a important psychological morbidity and mortality. Depression, anxiousness and self-destructive ideation are the most common of psychological jobs. ICD-10- INTERNATIONAL STATISTICAL CLASSIFICATION OF DISEASES CODES L70. Acne L70.0 – Acne Vulgaris F32.2 – depressive episode In my hunt schemes, I used following web sites, Links and databases, to happen out articles, researches, abstracts, surveies, systematic reappraisals, RCT and Meta-analysis, I used following learning resources, University of Hertfordshire Database by Study Net, The Cochrane Library, PubMed, Medline, National institute for wellness and clinical Excellence. ( NICE, CKS, NHS ) , BMJ group grounds Centre, EADV. European academy of dermatology and venereology, Science Direct and Scopus, DermetNZ ( World Wide Web, dermnetnz, org ) , Google bookman through StudyNet. , WHO, DSM-IV Criteria and ICD-10-CA ( International statistical categorization of diseases and related wellness jobs 1oth alteration, Canada ) and CCI ( Canadian categorization of wellness intercessions ) . I used following hunt footings and hunt sets. Acne, acne vulgaris, epidemiology, aetiology, genetic sciences, pathophysiology, depression, anxiousness, To Identify cardinal beginnings of information, I used MeSH schemes, Boo lean operators to contract and broaden my hunt scheme. I applied Limits of English linguistic communication, human surveies, confirmed diagnosing, full text articles, grounds based record, life scientific disciplines, wellness and societal scientific disciplines. My inclusion standards was grownups and kids, confirmed diagnosing. My exclusion standards was babies, critically sick patients Evidences of strong association found between Acne and depression. Following surveies prove a relationship between Acne and Depression, Anxiety. Pouran Layegh, Hamid Reza Arshadi et al.Aug-2010, a comparative survey on the prevalence of Depression and self-destructive ideation in dermatology patients enduring from psoriasis, Acne, alopecia areata and vitilgo. , Persian Journal of Dermatology, Vol 13, No 4,2010. , ( Iran J Dermatol 2010 ; 13: 106-11 ) . , In this comparative survey of Depression, entire figure of qualified topics was 300 between the ages of 11 to 64 old ages. To look into the prevalence of Depression, BDI ( Beck Depression Inventory ) graduated table was used. 78 ( 26 % ) were enduring from Acnes, 62 ( 20.7 % ) from Psoriasis. 73 ( 24.3 % ) fro alopecia areata and 87 ( 29 % ) from vitilgo. This survey has provided conclusive grounds that childs with even mild grade of acne are more prone to Depression. K.Yazici, K.Baz-2004, Disease specific quality of life in patients with anxiousness and Depression with Acne. , JEADV.2004.18.435.439. , This survey includes 61 patients with acne vulgaris and 38 healthy voluntaries. Acne badness was assessed utilizing Global Acne Grading System ( GAGS ) .All participants completed followerss. Acne quality of life graduated table ( AQOL ) , Dermatology life quality index ( DLQI ) and Hospital anxiousness and depression graduated table ( HAD ) .The rate of topics at hazard of anxiousness was significantly higher In the patients group ( 26.2 % ) than in control group ( 0 % ) ( p=0.001 ) . MY SCOPE OF REVIEWS. cardinal issues, Epidemiology of Acne Acne and quality of life of my patient Cuases of Acne Incidende and prevalence of acne. Psychosocial effects on my patient. Critical Analysis and Analysis of current Literature. HISTORY EXAMINATION AND DIAGNOSIS 17 twelvemonth old Nancy has been sing our Practice installation since last 7 old ages.She visited in company of her parent. She told that she was merely 12 old ages old when acne start looking on her face by the clip she started her menses. Acne occupied beyond face toward cervix, shoulder, back and chest. After a twelvemonth she has legion acne, with a combination of white and black caput blackheads, musca volitanss, cysts, little ruddy bumps that feel stamp to touch, papules, pustules, and nodules. These acnes were sore, itchy and seeping out on rubing. She has experienced repeated episodes of acnes several clip. For intervention of acne, she used several over the counter readyings. Her female parent is Chinese and male parent is Indian. They gave her many Chinese and Indian redresss as good. When I asked Nancy about how acne started, she start shouting. Here is the narrative as she told. I was merely 12 old ages old when I saw a hickey over my face on right side of my olfactory organ. Following hebdomad I saw another pimple.I was in Grade 6 and did non notice.But following twenty-four hours a category chap pointed at my face and get down laughing.I asked why are you express joying. She told you look like a wild African adult female with points on face. In following few months I saw a large harvest of hickeies until the I saw a large cystic hickey around my nose and above my lip. It was really painfull. I got some on my brow between my superciliums. I thought it was for a clip being and will travel off shortly. Pimple were mending up rapidly and a new hickey was coming up. My tegument was still baby smooth. My acne truly flared when I was in grade 10. I avoided mirror and had to cover up my face most of the clip, walked around with a skining face from all the rough medical specialties. It was a muss. I had everything that you could call with any words. Painful cysts o n my cheek, comedos on my olfactory organ on both sides, my superciliums, random one on my mentum and brow. My female parent helped me a batch in doing me mentally prepared to confront all sort of state of affairs and making intervention. I started art college with the emphasis. I had about 10 deep ruddy hickeies bunch around my cheek Sides, I have been left with cicatrixs from these. My tegument will ne'er look just like before. I have marking on my cheeks, big pores on my cheeks and olfactory organ from the stupid comedos, and I have noticed more and more broken blood vass on my cheeks. For her acne job, Nancy visited two other GP offices, but acne were non relieved. She noticed that acne were more troublesome during monthly periods, eating fatty repasts, nuts and eggs. She realized that other pupils were looking at her face and express joying with remarks. It was aching her each clip. Even instructors did non like her face. She was barely maintaining her attending at the art college. She came to dermatology office 4 old ages ago for the intervention of her acne. Along with acne, she has been enduring from symptoms of anxiousness and depression due to failure in intervention and facial disfiguring. Her troubles were aggravated, when a miss started express joying while looking at her face full of acne. She wishes she could conceal her face. She feels helter-skelter, agitated and covetous when she sees any beautiful adult female. On her first visit she said she can non digest agonising antsy acne on her face and organic structure. In Family, her female parent has been enduring from Hypertension and Diabetes Mellitus.Her female parent has history of acne in adolescent age. Her male parent is basking a good wellness. Her expansive male parent died of long standing Diabetes Mellitus several old ages ago. In medicine history she has used several over antagonistic medicines, like clearasil attention, Rezamid Lotion, Sulphur unction, salicylic acid, Glycolic acid. The she tried topical Benzyole peroxide lotion, topical azaleic acid, unwritten Erythrocin and Achromycin. To command her anxiousness she used some tranquiller on occasion. She besides attend a decorative clinic to better her face before go toing any meeting. Acnes are classified in to, Type 1. comedonal, trim no scarring. Type 11. comedonal, popular, moderate scarring. Type 111. comedonal, popular and pustular with scarring. Type 1V. Nodulocystic acnes, terrible scarring. The Leeds Scoring System. we evaluate the badness by numbering figure of lesion by technique on a graduated table from 0 to 10 by utilizing ba exposure as a mention standard.. A mark of 10 is terrible. Here is photograph with acnes, By numbering the figure of acne lesions Leeds mark is calculated. TABLE- 1 The Cardiff Acne Disability Index NO Questions Mark 1 As a consequence of holding acne, during the last month have you been aggressive, frustrated or embarrassed? ( a ) Very much so ( B ) A batch ( degree Celsius ) A small ( vitamin D ) Not at all 2 2 Do you believe that holding acne during the last month interfered with your day-to-day societal life, societal events or relationships with members of the opposite sex? ( a ) Badly, impacting all activities ( B ) Reasonably, in most activities ( degree Celsius ) Occasionally or in merely some activities ( vitamin D ) Not at all 2 3 During the last month have you avoided public altering installations or have oning swimming costumes because of your acne? ( a ) All of the clip ( B ) Most of the clip ( degree Celsius ) Occasionally ( vitamin D ) Not at all 3 4 How would you depict your feelings about the visual aspect of your tegument over the last month? ( a ) Very down and suffering ( B ) Normally concerned ( degree Celsius ) Occasionally concerned ( vitamin D ) Not bothered 3 5 Please bespeak how bad you think your acne is now: ( a ) The worst it could perchance be ( B ) A major job ( degree Celsius ) A minor job ( vitamin D ) Not a job 3Instruction manuals for hitingThe marking of each reply is as follows: ( a ) 3 ( B ) 2 ( degree Celsius ) 1 ( vitamin D ) 0 The CADI mark is calculated by summing the mark of each inquiry ensuing in a possible upper limit of 15 and a lower limit of 0. The higher the mark, the more the quality of life is impaired. Entire Mark 13 TABLE-2. DLQI INDEX DLQI- DERMATOLOGY LIFE QUALITY INDEX Calculation The purpose of this questionnaire is to mensurate how much your tegument job has affected your life over the last hebdomad. Please tick one box for each inquiry. No Questions Tonss 1 How antsy your tegument 2 2 How abashed or self witting Because of tegument Mark 2 3 How much has your tegument interfered with you traveling shopping or looking after your place or garden 1 4 How much has your tegument influenced your apparels 1 5 How much has your tegument affected any societal activities 2 6 How much has your tegument made it hard for athletics 0 7 Has your tegument prevented you from working or analyzing. 1 8 How much has your tegument created jobs with your spouse, or any of your close friends or relations 2 9 How much has your tegument caused any sexual troubles 0 10 How much of a job has the intervention for your tegument been, for illustration by doing your place messy or by taking up clip 2 Entire Tonss 13 TABLE-3. COOK GRADING SCALE FOR OVERALL for Severity of Acne. Badness of Acnes Grade description 0 Need non be perfect ; 3 little blackheads and/or papules are permitted, if they are scattered 2 Very few pustules, up to 3 twelve papules and/or blackheads ; no large or outstanding lesions ; lesions are barely seeable from 2.5m off 4 Between grades 2 and 6. Red lesions and redness are present to a important grade. Worthy of intervention 6 Numerous blackheads, but no redness or inflammatory lesions, legion pustules, lesions easy recognised at 2.5m, some pustules may be rather big ( 1-2 centimeter ) 8 Conglobata, fistula or cystic type acne or Highly inflammatory acne covering most of the face ; xanthous pustules extend to make out and chin..Diagnosis of Acne vulgaris was made on the footing of clinical symptoms. Presence and location of acne with itchiness, Following lesions were found on face cervix, shoulder and back with a combination of Whitehead and comedo blackheads, musca volitanss, cysts, little ruddy bumps, papules, pustules, pigmentations, cicatrixs and nodules. These acnes were sore, itchy and seeping out on rubing. She has experienced repeated episodes of acnes several clip. psychosocial factors present were depression with anxiousness and societal isolation. Hazard factors included were the age of 17, familial sensitivity, oily tegument, dietetic contents, pubescence anxiousness and tenseness. Following probes were done to guarantee that there was no other organic cause which may do dermatological and psychiatric symptoms or may interfere with the intervention. Full blood count, nephritic map trials, Liver map trial, a fasting lipid profile. Thyroid map trials, , B12, Folates, serum drug screen and tegument biopsy, EPIDEMIOLOGY. Causes. Exact cause of Acne is unknown. Most common myths about the causing of Acne vulgaris are increased sebum secernment, hapless hygiene, familial sensitivity, a high glycemic diet, oily nutrients, cocoa, spicy repasts, emphasis degree, puberty endocrines, infections with a bacteria p. acnes, Acnes are abnormalcy of greasy secretory organs attached to the hair follicles, found in cuticle. Greasy secretory organs usually produce an greasy substance called sebum. Due to multiple grounds these greasy secretory organs over secrete sebum, which mixes with dead tegument cells formation of ceratin and sebum stopper in the follicle. Proliferation of bacteria propionibacterium acnes releases free fatty acids and neutrophills, which destroys pilocebaceous secretory organs bring forthing enzyme liposes. Blackheads are produced by choke offing of greasy secretory organs with sebum, dead tegument cells and commensal bacteria, propionibacterium acnes. The sulting redness give rise to papules, septic pustules, nodules, cicatrixs and pigmentation in the corium Familial Factors. Nancy told that her female parent had a strong history of acne vulgaris in the same age†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Incidence. Prevalence CRITICAL EVALUATION AND ANALYSIS CONCLUSION AND REFLECTION CONSENT FORM Patient was in abroad. Presently, it non possible to recover the signed consent signifier.

A Review of Family to Family: Leaving a Lasting Legacy by Dr Jerry Pipes and Victor Lee Essay

Having two children of his own, Paige and Josh, Dr. Jerry Pipes has written several books dedicated to families and their connection to Christ. These include Building a Successful Family, Becoming Complete and the book being reviewed, Family to Family. Pipes received his B. S. at Texas A & M University, followed by his M. A. at Southwestern and then his D. Min. at Luther Rice Seminary. He is the President of Jerry Pipes Productions, which seeks to â€Å"impact people through cutting edge resources and events† (jerrypipesproductions. com). Pipes has written instructional booklets and training processes that have exceeded 18 million copies. His teachings have spread internationally through his involvement in assemblies, crusades and conferences. According to his website, Pipes most recent trip to the Northcrest Baptist Church in Meridian, MS resulted in over 445 decisions for Christ. Co-author Victor Lee entered full-time ministry in 1995 and is currently the Minister of Single Adults and Evangelism at First Baptist Concord in Knoxville, TN. He has contributed and edited several Christian publications, including special event evangelism material. Lee and his wife, Judy, reside in Wake Forest, NC. Content Summary  The cover of Family to Family shares instantly the book’s purpose: a way for hurried parents to leave a lasting legacy with their children and find true significance in the process. Pipes and Lee have constructed a guide aimed at growing as a family in Christ and sharing that relationship with one’s relatives, community and acquaintances. The introduction explains that the book is not a quick fix but a helpful tool for becoming a healthy, on-mission family. The books definition of family is â€Å"persons related to one another by marriage, blood, or adoption† (p. 9). The first chapter discusses how to become a healthy family in Christ. Sharing shocking statistics concerning the lack of family engagement with one another, the authors instruct one to first examine one’s family. They teach that a healthy family should mirror one that spends quantity and quality time together; one that expresses commitment to one another and to the family as a whole; one that has both parents equally involved in raising the children; one that finds significance in Christ; one that passing the baton of faith to the next generation; one that spends God centered time together (p. 2-15). In order to have a reflection of a healthy family, the authors suggest six spiritual growth principles which include: quiet time, lordship, development of a powerful prayer life, personalization of God’s word, Christian friendships and accountability and development of a ministry (p. 13). Living out God’s purpose of the Great Commission is the framework of a healthy and growing family unit (p. 15). Chapter two focuses on developing a family mission statement. The mission statement serves as a centerline that intentionally submits to the ways of Christ. God’s priorities become the family’s priorities. The mission statement begins with the parents and is passed down to the children. When constructing a family mission statement, the family should consider the mission of Jesus (p. 27). The authors provide several Scriptural references to this mission. They also provide five foundational elements in considering a mission statement: (1) the authority of Jesus; (2) making disciples; (3) comprehensive nature of the call to teach â€Å"all nations;† (4) baptize new believers; (5) the eternal presence of God (p. 28-29). The process of developing a mission statement must be fun and inclusive of all members. The family should consider their goals, take a family inventory and conceptualize and personalize the statement. The authors provide many examples of family mission statements. Since nine in ten people come to Christ before reaching age 25, the authors dedicate chapter three to passing on the baton to the next generation. This requires trust, communication, involvement and discussion. Raising children to become mature in Christ begins with the parents and is fed by the church, not the opposite. The seven key elements to mentoring to children include: modeling, presence, affirmation, praying with and for, transparency, doing things with them and not for them and making one’s actions reflect the Word of God (p. 52-57). The authors give advice on family devotion and family worship (p. 60-63). Chapter four focuses on sharing one’s faith outside of the home. This takes the form of lifestyle evangelism. One is taught how to minister to one’s immediate family, relatives, friends, community, acquaintances and person X (p. 73). Person X is anyone who one will never (most likely) have further contact with. There is also guidance on ministering to special needs children. The authors provide several evangelism ideas for each type of relationship. They discuss ministry evangelism (including the key methods of look, listen and linger), lifestyle evangelism and family evangelism. Chapter five is closely linked to chapter four as it teaches one to go into the church. The authors share that an on-mission, healthy family will make it their effort to spread the Word of God by integrating ministry and the church (p. 7). The book gives an example of how to connect with the community while ministering through the church. It suggests a family block party that has the qualities of being inclusive, intimate, intentional, informal, interesting and imaginative. Pipes and Lee also instruct one to engage in family mission trips at least once every two years. It labels the Jesus Video as an effective and non-confrontational way to share Christ while in the mission field. Chapter six concludes the book as it teaches one to share the message. It stresses the importance of prayer and implements the heart  acronym in association with praying for the lost (H= heart is receptive to gospel, E= spiritual eyes and ears are open to message, A= attitude toward sin matches God’s attitude, R= God releases them to believe, T= trust in Christ to live a transforming life) (p. 105). The authors provide guidance on ministering to individuals where they are in life. They teach that receptivity will come in varying levels. Most importantly chapter six teaches that one is not alone in the mission of sharing the gospel. It also gives many methods to successfully sharing which in turn raises the family to follow the ways of Christ. The conclusion is simplified into one page, challenging the family to step out and respond to the call of evangelism and to be an on-mission family. Evaluation Jerry Pipes and Victor Lee have constructed a book that convinces the reader to mature as a family in the direction of Christ. It’s chapters overflow with logical and structural guidance to reaching this goal. Every section is presented in a categorized manner that is easy to follow. Along with this, the chapters include appropriate and practical examples for the particular lesson being discussed. The most interesting example provided in the book is in chapter six describing how to share the message of Christ. In this example the authors are explaining that one is not alone in the mission of spreading the gospel: After prayer, a man named Chris feels the deep need to be vulnerable and sensitive while sharing his faith. While Chris is on a plane he begins a conversation with a married couple. The couple asks Chris of his profession and he replies that he is involved in a ara-church ministry. In disgust the couple asks why he would do that. He replies in a heart-breaking manner that he, his brother and his best friend were all very depressed. The depression resulted in Chris finding Christ and the brother and best friend committed suicide. The couple is quickly moved to tears because they are on the way to bury their son who has recently committed suicide. This is a powerful story and one full of God’s presence. The authors used the story to show how greatly involved the Holy Spirit is in teaching, guiding and using his followers for the advancement of the Kingdom. The inclusion of examples is a strong point found in Family to Family. The authors also include biblical support throughout the book, stressing the Scriptural references to the Great Commission. Any instruction given is accompanied by biblical command. For example, the authors teach that discovering real purpose in life involves making choices about â€Å"who you are and what you stand for† and reference Joshua 24:15 which states, â€Å"And if it seems evil to you to serve the Lord, choose for yourselves this day whom you will serve . . . But as for me and my house, we will serve the Lord. The author’s main presupposition, that many families do not spend adequate time with one another sharing the Word of God and the love of Christ, is supported with statistical data (i. e. 88 percent of the children who grow up in churches leave the church and never return) (p. 50). Pipes and Lee conclude that by following the suggested guide given in Family to Family, the family unit will be more prepared to have meaningful Christ-filled relationships within and outside of the family, respond to the call of Christ and pass the baton of faith to future generations. It is difficult to point out many flaws within the book. For the purpose of this critique, the only suggestion for improvement would be to tie in the theme of family in a more distinct manner throughout the chapters. At times it seemed that it was geared more toward evangelism rather than the books stated theme of leaving a lasting legacy with children and finding significance along the way. Nonetheless, Family to Family is an appropriate guide for growing in Christ (both individually and as a family). Implementation of its strategies and suggestions may prove to be a beneficial tool to parents and singles. Dr. Pipes has shared his book internationally and has continued to win souls to Christ. Family is an important aspect of life and when molded in the way of the Lord, the family, as a unit, can share the love and knowledge of Christ with the world around them. Salvation becomes a domino effect: family to family.