Prader-Willi Syndrome free essay sample

Prader-Willi Syndrome: An Investigation into Paternal and Maternal Origins Characteristics Abigail McNeal Liberty University COUN 502- Professor Myers August 15, 2011 Abstract Prader-Willi syndrome, (PWS) is a genetic disorder that occurs in about one in every eight thousand births in the United States. PWS occurs when there is a defect or deletion in the fifteenth chromosome from either maternal or paternal origins. Individuals diagnosed with PWS need enhanced supervision to address the constant need to over eat. Current research identifies that the paternal chromosome presents with significant maladaptive behaviors. Behavioral issues commonly known to the disorder differ dependent on the origin of the parental chromosome. Obesity, physical aggression, temper tantrums, ritualistic behaviors, stubbornness, and self- injurious behavior (skin picking), along with other maladaptive behaviors are all characteristic of individuals with PWS. Due to an increased awareness, and accurate and reliable genetic testing, diagnosis of PWS occurs earlier than in the past. Recommendations for conducting assessments, applying behavior management strategies, and environmental adaptations are all supported by research in managing behaviors among individuals with PWS regardless of the origins. We will write a custom essay sample on Prader-Willi Syndrome or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Keywords: Prader-Willi syndrome, obesity, self-injurious behaviors, skin picking Prader-Willi Syndrome Every year in the United States, one in every sixteen thousand babies are born with PWS. PWS is the first human disease attributed to genomic imprinting (Mahgoub 2007). PWS according to Maas, Sinnema, Didden, Maaskant, Smits, Schrandel-Stumpel Curfs (2010), is caused by a deletion or defect on chromosome fifteen of the paternal copy of a maternally imprinted gene. Infants with PWS have difficulty latching on to their mother’s nipple for nursing and sucking from a bottle; both resulting in alternate feeding methods to increase weight gain. According to Kundert (2008), â€Å"Two distinct eating disorders, failure to thrive [in infancy] and later overeating, are found in PWS†.

Gun Rights Under President Ronald Reagan

Gun Rights Under President Ronald Reagan President Ronald Reagan will forever be remembered fondly by Second Amendment supporters, many of who are among the American conservatives who consider Reagan a poster child of modern conservatism.  But words and actions of Reagan, the 40th President of the United States, left behind a mixed record on gun rights. His presidential administration did not bring about any new gun control laws of significance. However, in his post-presidency, Reagan cast his support to a pair of critical gun control measures in the 1990s: 1993’s Brady Bill and 1994’s Assault Weapons Ban. Bettmann/ Getty Images Reagan: The Pro-Gun Candidate Ronald Reagan entered the 1980 presidential campaign as a known supporter of the Second Amendment right to keep and bear arms. While gun rights wouldn’t be a primary issue in presidential politics for another decade, the issue was being pushed to the forefront of the American political scene by those, as Reagan wrote in a 1975 issue of Guns Ammo magazine, â€Å"who say that gun control is an idea whose time has come.† The Gun Control Act of 1968 was still a relatively fresh issue, and U.S. Attorney General Edward H. Levi had proposed outlawing guns in areas with high crime rates. In his Guns Ammo column, Reagan left little doubt about his stance on the Second Amendment, writing: â€Å"In my opinion, proposals to outlaw or confiscate guns are simply unrealistic panacea.† Reagan’s stance was that violent crime would never be eliminated, with or without gun control. Instead, he said, efforts to curb crime should target those who misuse guns, similarly to the way laws target those who use an automobile feloniously or recklessly. Saying the Second Amendment â€Å"leaves little, if any, leeway for the gun control advocate,† he added that â€Å"the right of the citizen to keep and bear arms must not be infringed if liberty in America is to survive.† Firearm Owners Protection Act The lone piece of significant legislation related to gun rights during the Reagan administration was the Firearm Owners Protection Act of 1986. Signed into law by Reagan on May 19, 1986, the legislation amended the Gun Control Act of 1968 by repealing parts of the original act that were deemed by studies to be unconstitutional. The National Rifle Association and other pro-gun groups lobbied for passage of the legislation, and it was generally considered favorable for gun owners. Among other things, the act made it easier to transport long rifles across the United States, ended federal records-keeping on ammunition sales and prohibited the prosecution of someone passing through areas with strict gun control with firearms in their vehicle, so long as the gun was properly stored. However, the act also contained a provision banning the ownership of any fully automatic firearms not registered by May 19, 1986. That provision was slipped into the legislation as an 11th-hour amendment by Rep. William J. Hughes, a New Jersey Democrat. Reagan has been criticized by some gun owners for signing legislation containing the Hughes amendment. Post-Presidency Gun Views Before Reagan left office in January 1989, efforts were afoot in Congress to pass legislation creating a national background check and mandatory waiting period for handgun purchases. The Brady Bill, as the legislation was named, had the backing of Sarah Brady, the wife of former Reagan press secretary Jim Brady, who was wounded in a 1981 assassination attempt on the president. The Brady Bill initially struggled for support in Congress  but was gaining ground by the latter days of Reagan’s predecessor, President George H.W. Bush. In a 1991 op-ed for the New York Times, Reagan voiced his support for the Brady Bill, saying the 1981 assassination attempt might have never happened if the Brady Bill had been law. Citing statistics suggesting 9,200 murders are committed each year in the United States using handguns, Reagan said, â€Å"This level of violence must be stopped. Sarah and Jim Brady are working hard to do that, and I say more power to them.† It was a 180-degree turn from Reagan’s 1975 piece in Guns Ammo magazine when he said that gun control is pointless because murder cannot be prevented. Three years later, Congress had passed the Brady Bill and was working on another piece of gun control legislation, a ban on assault weapons. Reagan joined former Presidents Gerald Ford and Jimmy Carter in a letter published in the Boston Globe that called on Congress to pass a ban on assault weapons. Later, in a letter to Rep. Scott Klug, a Wisconsin Republican, Reagan said the limitations proposed by the Assault Weapon Ban â€Å"are absolutely necessary† and that it â€Å"must be passed.† Klug voted in favor of the ban. End Result of Reagan Presidency on Gun Rights The Firearm Owners Protection Act of 1986 will be remembered as an important piece of legislation for gun rights. However, Reagan also cast his support behind the two most controversial pieces of gun control legislation of the past 30 years. His support of the Assault Weapons Ban in 1994 may have directly led to the ban winning the approval of Congress. Congress passed the ban by a vote of 216-214. In addition to Klug voting for the ban after Reagan’s last-minute plea, Rep. Dick Swett, D-N.H., also credited Reagan’s support of the bill for helping him decide to cast a favorable vote. A more lasting impact of Reagan’s policy on guns was the nomination of several Supreme Court justices. Of the four justices nominated by Reagan   Sandra Day O’Connor, William Rehnquist, Antonin Scalia and Anthony Kennedy the latter two were still on the bench for a pair of important Supreme Court rulings on gun rights in the 2000s: District of Columbia v. Heller in 2008 and McDonald v. Chicago in 2010. Both sided with a narrow, 4-3 majority in striking down gun bans in Washington D.C. and Chicago while ruling that the Second Amendment applies to individuals and the states.

Legal issues Assignment Example | Topics and Well Written Essays - 500 words

Legal issues - Assignment Example The increase of the patient’s blood pressure to 40 mm Hg within just an hour is a pertinent issue, which the nurse should have reported to the physician immediately. Nurses are also mandated to speak to physicians about changes in patient conditions, rather than leaving messages (Wolf, 2012). Therefore if the nurse in this scenario claims that she left a message for the physician about the rapid increase in the patient’s blood pressure before going for lunch, she would have violated the legal obligation of nursing practice. The professional code of conduct as presented within the Nursing Practice Act provides that nurses must go further up in the chain of command in an event when they are not able to get the physician (Mikos, 2011). Therefore inability to get the physician would not be an excuse for the nurse’s behavior in this scenario. The nurse violated the procedures and policies of nursing practice and is therefore liable to the violations and penalties of the Nursing Practice Act. Nurses are responsible for knowing and adhering to the procedures of care, such as reporting patient conditions. It is through education and training that nurses are made aware of nursing policies and procedures. Despite the knowledge of the nurse of the procedures of reporting the conditions of the patient, she ignored implementing them. Negligence is a legal issue in health care processes, which described the inability of practitioners to demonstrate due care (Mikos, 2011). In this scenario, the nurse was negli gent because she did not show due care in reporting the high and increasing blood pressure of the patient, and instead went for lunch. When a health provider fails to do what should prudently and reasonably done, then negligence is reported. A breach of duty is also categorized under negligence (Wolf, 2012). The nurse breached her duty of reporting the change in the patient’s condition. The critical nature of the patient’s blood

Motivation in the Workplace Essay Example | Topics and Well Written Essays - 2000 words - 2

Motivation in the Workplace - Essay Example Motivation at the workplace changes depending on the atmosphere in the workplace. Employee motivation changes from time to time depending on the leadership structure, the changes in the workplace dynamics, the external environment, changes in culture and other similar aspects. As such, the focus of the essay is to evaluate some of the ways to induce and retain high motivation levels within various organizations.   Statement of the problem and sub problems   Motivation is modifiable from two primal aspects. One of the key ways through which the behavior can be modified is using intrinsic rewards, which appeal to human psychological needs. The use of intrinsic rewards is evident in appraisals, giving employees more challenging tasks, more responsibility, power, recognition and appreciation. Alternatively, extrinsic rewards can be used to achieve the same goal. For example, money, gifts, vacations and other similar rewards that are tangible or directly visible are effective ways to motivating employees.  Hypotheses   This study makes several unsupported truths that are require proof from the rest of the study. For instance, Motivation in the workplace is the driving force of the company that determines how industrious the company is in terms of the employees input. In addition that, the study builds in the confidence that motivation in the work place is initiated by the employer after understanding each employees potential and motivating in accordance to their uniqueness.

Development and Implementation of Direct and Internet Marketing Essay

Development and Implementation of Direct and Internet Marketing Strategy in Nokia - Essay Example Similarly, many companies have embraced the use of direct marketing to lure customers into buying and remaining loyal to the company’s products. Direct marketing strategy is adopted to ensure the success of the marketing campaign. It involves companies approaching the consumers with their products and survives with the aim of meeting their goals by influencing an action through buying, ordering, requesting more information as well as visiting the company website (Roberts, 1999:18). Internet marketing strategy involves the use of internet to attract people or to give more information about the company’s products through directing them to the company website, increasing customers to the organization as well as branding the organization with its products (Clarke, 2005:172). Over the past years, Nokia has been on the leading end in the development and implementation of direct and internet marketing strategy which has promoted its growth in terms of product penetration and a cquisition of the market share. Similarly, this marketing strategy and ensured the company grows its revenue as it keeps on launching new products to counter its competitors. This research paper will outline how Nokia develops and implements direct and internet marketing strategy as it gives the achievements and limitations of this marketing strategy. ... Since its establishment, the company has been on steady growth as it operates in more than 120 nations across the world with employees above 100,000. Nokia has annual revenues of 30 billion euro which has placed it second mobile phone maker after Samsung as at 2012. The company commands the mobile phone industry with its current share marked at 23%. Despite the steady growth that the company has enjoyed over the years, its market share has not remained stable from last year due to developments and entry of smart phones by other agencies. The introduction of iPhone which runs Google android operating system has systematically contributed to the declining market share of the corporation. However, the company is working on strategy to ensure it counterattack the new agencies by partnering with Microsoft to ensure all Nokia smart phones are incorporated with Microsoft window as their operating system. Besides this, Nokia has elaborated ways of capturing certain markets as it develops pro ducts which meets the demands of certain age group of the society (Mangan, 2012). Their marketing strategy is very essential in ensuring they reap from the untapped markets both online and direct. Frameworks and Approaches to Direct and Internet Marketing Nokia has been on the forefront towards direct and internet marketing since competition in the mobile telecommunication industry is flooded with the entries of new products as well as new agencies. This has pushed the company to venture into direct marketing at ensuring they meet their target population as well as consumers towards realizing the existence of the company products and services. Nokia have embraced the use of direct marketing

The School For Wives and Ghosts | Analysis

The School For Wives and Ghosts | Analysis In Henrik Ibsens Ghosts and Molieres The School for Wives, the playwrights portray the concept of male domination with the help of the relationships between the characters. Ibsen depicts male dominance in the late 1800 Norwegian society mainly through the characters of Mr. Manders and Mrs. Alving. On the other hand, Moliere portrays male dominance in French Renaissance society using the characters of Arnolphe and Agnes. The playwrights portray their societies through miniature household with stereotypical characters. Male domination in both the plays is depicted by the careful use of speech, actions and social beliefs. This similarity reflects upon the two 17th century European societies, the Norwegian and the French Renaissance. The writers establish differences in perception using characterization. The use of rhetoric speeches of Mr. Manders in Ghosts shows that domination in Norwegian society is elusive. At the same time, the use of simple language in The School for Wives illustra tes male domination that is prominent in the French Renaissance society. Important aspects of culture and society have also been incorporated in the two plays. In Ghosts, and School for Wives the playwrights convey male dominance through dialogue and action. However, the difference lies in the manner of portrayal. Ibsen employs ideas and social norms in his speech to bring out the oppressive character of Mr. Manders and to influence Mrs. Alving. The insurance of the orphanage is an example of indirect influence being employed as a tool to dominate. After Mrs. Alving decides to insure the orphanage, Mr. Manders asks, But what about the opinion of the people hereabouts?  [1]  The ultimate aim of Mr. Manders is to avoid judgment by public. The character of Mr. Manders allows Ibsen to present the thoughts of common people in the Norwegian society who do not have the courage to deter from the norms of society. The issues in a domestic household such as the conflict between Mr. and Mrs. Alving act as a microscopic portrayal of Norwegian society. It is evident that this portrayal of male dominance in Ghosts was not approved by the Norwegian no rm as it was banned from being staged in a number of theatres in Scandinavia. Similarly, Moliere depicts complete male dominance through words and actions. The character of Arnolphe is used to bring out the theme of oppression of women. Arnolphes dialogue and soliloquys are used for this purpose. For example, he controls the upbringing of Agnes and restricts her right to modern education. Arnolphe says, A wife who writes knows more than can be good for her.  [2]  This excerpt of Arnophes speech shows that the society presented in the play saw educated women as unsuitable wives. Arnolphe acts as a director when he says, A trusty soldier knows his place, however hard, and shows obedience to the captain of the guard; a valet serves his master, and a child obeys his father, and a priest does what the bishop says  [3]  . In this speech, Moliere metaphorically compares the inferior ranks of professions to women and the superior to men in French household. This quote also shows that hierarchy and domination exist in all parts of the French society as presente d in the play. The God-like figure of Arnolphe is often portrayed throughout the play as he says She never should presume to look him in the face- Except if he looks kind, and smiles at her with grace.  [4]  It also suggests that the admiration that men receive from women and society is like a myth or action that is supposed to be done disregards to the individual person. The Maxims of Marriage mentioned in Act III Scene II of the play is the portrayal of male domination in French Renaissance society. Each maxim topic depicts the traits expected by the husband in an ideal wife. For instance, the maxim states that a good wife must not dress to tease or must never play cards  [5]  . The wives must obey the maxim as a bible whether they want to or not. Through this, Moliere portrays a French domestic household and complete male dominance in a marriage. Another technique of the playwrights in portraying male domination is through characterization and the different traits between the male and female characters. In Ghosts, Mrs. Alving and Mr. Manders are the two extreme opposite characters. Ibsen makes Mr. Manders a dutiful priest who represents conservative society while he makes Mrs. Alving a widow who represents modern beliefs and radical thoughts. This characterization technique is a tool enabling the male characters to influence the female characters. By doing this, Ibsen portrays various conflicting beliefs and ideas that exist in the Norwegian society: conservative and unorthodox. Similarly, in the play The School for Wives, Moliere uses characterization to portray male dominance. Arnolphe is a man of society who has wealth and property to his name. On the other hand, Agnes is portrayed at the beginning of the play to be an orphan with no wealth or status. She is uneducated and very young compared to Arnolphe. The relationship between Arnolphe and Agnes acts as a mirror image to the French Society. The age difference and the lack of education of women make it possible for men to control womens life in all aspects as Arnolphe says Whichever way I choose, Ill shape her very life- Ill mould her in my hands, just like a lump of wax, and then Ill sculpt her, in whatever form she lacks.  [6]  An image of a toy or a figure being created out of clay is portrayed. This speech of Arnolphe, represent men in society, means that men do not want to marry a specific woman but they want to marry anyone who is, according to them, an ideal wife. In Act III, scene IV, this l engthy passage illustrates that he wanted to marry a woman who fitted in his vision of idealism in a marriage. Arnorphes soliloquy is an insight to the insecurities of French men in the 17th century. Moliere devoted a scene for this lengthy speech of Arnolphe to tell the audience about the selfish thoughts of men. The structure of this passage also shows Molieres use of punctuations to increase the pace of the monologue. It also makes the audience feel like Arnolphe is reciting a lyrical poem; hence the audience is kept interested until the end of the scene. The importance given to this scene by Moliere suggests that male dominance is a main theme which he wants to bring out in this play. The playwrights use some of the elements of the society as a tool to portray male dominance. In Ghosts, Ibsen depicts male dominance through concepts of duties, public opinions and individual beliefs as themes. For instance, Mr. Manders says What right have we to happiness? No! we must do our duty, Mrs. Alving.  [7]  This emphasizes the idea of conservatism in the Norwegian society. General responsibility regardless to the personal situation or feeling applies to everyone in the society. Similarly, Moliere depicts male dominance using tools such as education, naivety and religion in the play The School for wives. The restriction of basic rights of Agnes is can be viewed as immoral, but at that point of time, men considered it to be a venture as Arnolphe says Then youll see the result of my experiment,  [8]  Religion is used to portray men as God-like figure in society. And the profound respect she must show, in a word, to him, for hes her husband, ruler, chief and lord,  [9]  This part of Arnolphes speech illustrates the overall image of relationship between husbands and wives in the French renaissance society. Men are not only husbands but also the owners of the wives. Naivety plays an important role in allowing men to dominate womens thoughts. I want her ignorant, since all she needs to know is how to love me, pray to God, and spin and sew.  [10]  This quote again emphasizes the point that stereotypical husbands do not want educated wives because they a re considered too intelligent to be a good wife. The only qualities needed in a perfect wife are adeptness at chores and respect their husbands. Moliere employs Arnolphes speech to bring out the image of who was believed to be an ideal wife in renaissance society. In conclusion, Ibsen and Moliere represent their views on male dominance in Norwegian and French Renaissance societies respectively through Ghosts and The School for Wives. Using light hearted farce and comical elements, Moliere depicts human folly and elaborates the hidden motives such as fear of power of women.  [11]  Similarly, Ibsen attacks the sanctity of marriage and identity of women.  [12]  He accomplishes the aim of portraying taboos and making an impact on the Norwegian society. By analyzing these two plays, we understand the nature and culture of Norwegian and French societies. Male dominance exists in all societies but it is portrayed in a various ways depending on the nature of the society.

Television Essay -- TV Programs, Monitoring

Since television started its first broadcast in 1941, it has become a staple in American’s homes. Television has much influence on our society and culture. It was first created to entertain, deliver information from the government, and to educate. Over the years, television has changed from education to pure entertainment to meet ratings instead of quality. Children’s programming is one of those casualties, adding violence and sexual innuendoes. Even with all the negative programs, one aspect of children’s programming, educational programing, has kept its integrity and continued to thrive for preschoolers. With the number of children’s educational programming increasing, what are the positive affects do those television shows have on preschoolers? Research suggests the most significant positive effects educational television has on a preschooler are that it heightens imagination, teaches the value of positive social behavior, and increase academic skills f or school readiness. Imagination is an important aspect for cognitive development as it shapes the interaction preschoolers have with their environment (Thakkar, 2006). Singer (2003, p1) defines imagination as the capacity to form images in one’s mind of absent objects or to maintain thoughts or ideas without necessary converting those into acts. She determined that the content on television is what hinders or enhances imagination. Research shows preschoolers imagination can be enhanced by educational television. Studying on how television stimulates imagination is done so with numerous techniques such as observation, inkblots, and questionnaires (Singer, 2003). The most research shows on imagination are on Sesame Street, Mister Rodgers Neighborhood, and Barney and Friends. Se... ...age group can grasp Super Why, Word World, and Blues Clues (Moses). Repetition of a programing episode is important so a child can understand the main points. A preschooler may seem to never tire of that same episode because they a learning things that they did understand the first time or missed (Singer, 2003). To ensure that preschoolers are getting the full benefit of educational programing, parent need to be responsible in choosing the appropriate programs and monitor viewing time. Television is criticized for dubitation American’s society because of the violence and over sexualized. However, as the research show, educational television is positive all around for preschoolers. Television networks have also recognized this. Networks such as Nick Jr., Sprout TV, and Baby TV run twenty-four hours a day to educate children no matter what time of day it is.