Type 1 Diabetes Mellitus ( T1dm ) - 1456 Words

INTRODUCTION Type 1 diabetes mellitus (T1DM) is the most common metabolic disorder in which both genetic and environmental factors are involved [1]. T1DM is considered a chronic immune-mediated disorder. It was hypothesized that whilst children have a genetic predisposition to T1DM, there is likely to be an environmental factor that triggers the development of T1DM. Possible triggers that have been suggested include viral infection, vaccines, low levels of vitamin D and cow’s milk, [2]. Oxidative stress is one of the important pathways that have been involved in the etiopathogenesis of T1D [3]. Complications of T1DM could be due to the cellular metabolism leading to hyperglycemia and excess production of reactive oxygen species (ROS).†¦show more content†¦Objectives This study aimed to evaluate the association of glutathione S-transferase mu 1 (GST M1) and glutathione S-transferase theta 1 (GST T1) polymorphisms with the development of T1DM and disease- related risk factors. PATIENTS AND METHODS The study included 64 diabetic children with T1DM with a mean age of 11.7 ± 3.6 years; 26 boys and 38 girls. They were enrolled from the attendants of pediatric genetic and endocrinology unit and pediatric outpatient clinic of Menoufia university Hospitals, Egypt. The study was conducted in the period from January 2015 to March 2016. Diagnosis of T1DM patients was based on the American Diabetes Association (ADA) criteria [9]. Patients were followed up , regularly checked and investigated accordingly for diabetic complications , their current treatment regimens. Cases suffering from 2ry diabetes , or having chronic-related diseases , like hypothyroidism or hyperthyroidism or hypoadrenalism were excluded. Forty-one apparently healthy children of matched age and sex served as a control group. Written informed consent was obtained from each child included in the study or their participant parents. Ethical clearance was obtained for the research project. The study protocol conforms to the ethical guidelines of the 1964 Declaration of Helsinki and its later amendments. Data about the duration of illness and onset of the disease in children with T1DM were taken. BodyShow MoreRelatedType 1 Diabetes Mellitus ( T1dm )2058 Words   |  9 PagesType 1 diabetes mellitus (T1DM) results from a defect in insulin secretion in the body. T1DM may happen at any age and it is one of the most common chronic diseases of childhood and adolescents (Misso, Egberts, Page, O’Connor, Shaw, 2010). Long-term complications of T1DM include retinopathy, nephropathy, neuropathy, and cardiovascular disease. There is no prevention or cure for T1DM, and the treatment is a life-long insulin replacement regimen. Proper and accurate glycemic control is critical toRead MoreApplication Of Type 1 Diabetes Mellitus3781 Words   |  16 PagesTable of Contents I. Introduction to Type 1 Diabetes Mellitus a. What it is b. Prevalence and demographics c. Treatment II. Cognitive Outcomes: Mood and Memory a. Memory i. Neural Basis of Memory ii. Cognitive Outcome of TIDM on Memory III. Structural Brain Changes: MRI Studies a. The Hippocampus i. Purpose and Function of the Hippocampus ii. Previous studies on T1DM and Hippocampal Volume iii. The Cognitive Effects of T1DM on Hippocampal Volume b. Other Brain Areas IV. Conclusion aRead MoreThe Dental Management Of Diabetes Essay1125 Words   |  5 PagesIntroduction Diabetes mellitus (DM) is not a single disease entity; rather, it is a group of metabolic diseases characterised by hyperglycaemia (elevated blood sugar level) affecting the metabolism of carbohydrates, proteins and fats, resulting from the inability of the body to secrete and/or use insulin (Al-Maskari, Al-Maskari, Al-Sudairy, 2011; American Diabetes Association, 2005; James W Little, Donald A Falace, Craig S Miller, Nelson L Rhodus, 2013a; World Health Organisation, 2016). PatientsRead MoreIncreasing Coping Skills in Parents of Children with Type 1 Diabetes1629 Words   |  7 PagesAccording to the U.S Department of Health and Human Services, there are 15,600 new cases of Type I Diabetes Mellitus (T1DM) each year (U.S Department of Health and Human Services, 2011). Boys and girls are at relatively equal risks for developing T1DM up until fourteen years old, with risks peaking around puberty. Following puberty, incidences tend to be higher in white males than women (Soltesz, Pat terson, Dahlquist, 2007). When looking globally by region at incidences, they tend to be higherRead MoreDiabetes Mellitus As A Group Of Metabolic Diseases Essay1472 Words   |  6 PagesIntroduction Diabetes mellitus is a group of metabolic diseases characterised by hyperglycaemia (elevated blood sugar level) affecting the metabolism of carbohydrates, proteins and fats, resulting from the inability of the body to secrete and/or use insulin (American Diabetes Association (ADA), 2005; World Health Organisation (WHO), 2016). Patients with type-1 Diabetes Mellitus (T1DM) requires insulin for survival as the cell-mediated destruction of the ÃŽ ²-cells of the pancreas eventually lead toRead MoreThe Health Problem Surrounding Type 1 Diabetes2334 Words   |  10 Pages This paper will discuss and critically analyze the health problem surrounding Type 1 Diabetes (T1D) among the population. The findings of this paper will be summarized about the epidemiological concepts, the natural progression, and the treatment that can be provided for this pandemic issue. Current statistics and resources will be implemented throughout this paper. In addition, the Best Practice Guidelines will be anal yzed and implemented in order to provide effective care for those who are undergoingRead MoreType 1 Diabetes On Children Essay1011 Words   |  5 Pages Type 1 Diabetes In Children Kathy Miron Beckfield Mrs. Rebecca Barner December 2, 2016 Type 1 Diabetes In Children Helen Keller once said, â€Å"All the world is full of suffering. It is also full of overcoming.† Throughout life each person will face obstacles, but will only be defined by how they overcome or fail. In today’s society health and wellness has become such a challenge. Many things in our environment, social status, financial position, and culture can affect what we eat and ourRead MoreDiabetes : An Autoimmune Disease927 Words   |  4 Pagesnot news to anyone that one of the most known disease in the world is diabetes mellitus, people with type two diabetes produces some insulin, but not enough to keep their blood sugar at a normal level, however the one that are affected by the type 1 diabetes or childhood-onset type 1 DM do not produce insulin at all. Type 1 diabetes is usually diagnosed in children and young adults, and was previously known as juvenile diabetes. (ADA, 2015) . That circumstance puts them at greater risk for heart diseaseRead MoreDiabetes And How A Person With This Condition s Experience Has Affected Her Daily Life1401 Words   |  6 PagesIntroduction In my paper, I am going to focus on Type 2 Diabetes and how a person with this condition’s experience has affected her daily life. About the Disability Cause: Experts say diabetes is partly genetic and at least partly behavioral. Obesity and lack of exercise are key risk factors for the most common form. Many people think that diabetes results from eating too many sweets, but the truth is more complex. Type 2 diabetes -- also known as adult-onset diabetes -- is characterized by â€Å"insulin resistanceRead MoreEssay on The Increasing Prevelance of Type 2 Diabetes1011 Words   |  5 Pagesrecently, the common type of diabetes in children and teens was the type 1, little wonder it was called juvenile diabetes. Type 1 diabetes mellitus (T1DM) is one of the most common chronic, unremitting medical conditions that develop in childhood or adolescence. There is a bimodal age of onset, with the first peak at 4 to 6 years and the second peak in early adolescence. But now younger people are also getting type 2 diabetes. Type 2 diabetes used to be called adult-onset diabetes. But now it is becoming

Essay Selfie and Self Image - 1114 Words

One of the most defining characteristics of American history is the ability to create new and existing trends that come popular in America. Americans define these trends as pop culture. Popular culture can revolve around music, clothing, celebrities, vernacular or slang, and other fixations that become widespread across America. One of the most prominent parts of pop culture today is the language that is spoken. Today’s language is filled with slang terms that are derogative, over used, and narcissistic. One of the most over used words of 2013 was the term selfie. The word selfie was named Oxfords Dictionary’s word of the year. According to the oxford dictionary the definition of selfie is â€Å"a photograph that one has taken of oneself,†¦show more content†¦An article written by Thomas Peracchio addresses that â€Å"selfies account for 30% of the pictures taken in the 18 to 24 age group†(Peracchio). With such a high percentage of selfies being posted, it correlates with the idea that this generation of teens and young adults are self-absorbed. Not only it is the word seen in a self-absorbed connotation, but also it has been used in a humorous manner. One of the latest twitter accounts popping up on peoples twitter feeds is the account called â€Å"@SelfieOlympics†. These twitter accounts post pictures of people taking insane selfies. It is not just the standard front view camera picture or ‘mirror pic it has become a game. Individuals will take pictures of themselves posing with objects, costumes, and their friends typically in their bathroom mirror. An article called â€Å"What Is The Selfie Olympics? Twitter Game Exposes Narcissism In Social Media† confirms that it takes a little creativity and a little bit of athleticism to be a part of the selfie Olympics. People are not only just posting pictures of them self, but the idea of the selfie has become a form of communication. Snapchat has become infamous for sending pictures as a form of communication between friends. A person can snap a picture of themselves send it to their friends, it will appear for a maximum of ten seconds, and then disappear. Some critics believe that, â€Å"when Snapchat started is whenShow MoreRelatedAnalysis Of Jacque Lacan s The Mirror Stage1644 Words   |  7 Pagesto the realization that his first interaction with his â€Å"self† wasn’t with a mirror at all- it was actually with an iPhone’s front facing camera- used as a form of distraction while he sat in his highchair. This made start thinking about the fact that the recent generations are the first who do not need a mirror to see their â€Å"reflections†, how does that affect them? This is what spurred me to begin thinking about the way the modern day â€Å"selfie† relates to this â€Å"ideal-I† that Lacan discusses withinRead MoreThe Social Aspect Of A Self Image1746 Words   |  7 Pages Introduction Oxford Dictionaries awarded the term ‘Selfie’ as word of the year in 2013 and define this phenomenon as a photograph that has taken of oneself, typically with a smartphone or web cam and uploaded to a social media† arguing the selfie to be the modern approach to self-portraiture with â€Å"More then 1 Million Selfie’s taken each day†. The global popularity of this ritual of social networking has even had a song dedicated to this trend, symbolising of an era of youth culture. The ‘bandwagon’Read MoreSocial Media And Its Impact On Society924 Words   |  4 PagesSelfie is defined as a photograph that one has taken of oneself, typically one taken with a smartphone or webcam and shared via social media. Selfie was the 2013 Oxford Dictionaries word of the year and have great impacts on social media websites across the internet. To this day the world has been caught in this tendency by mocking it or participating it. As selfies get more popular the beauty standard are impossible to reach for ordinary young women. Every individual have different perspective ofRead MoreThe First American Self Portrait Photo862 Words   |  4 PagesSelfie, a new vocabulary which was created in 21 century, and has become one of the most popular words all over the social media in recent years. If you search the word â€Å"#selfie† on Instagram, you could find more than 200 million posts that related to selfie. In fact, selfie has appeared long time ago, accord ing to the report â€Å"the first American self-portrait photo produced in 1839 was of Robert Cornelius using a daguerreotype, who took a photo of himself outside of his family’s store in PhiladelphiaRead MoreWhat Gives People Me Take A Selfie?1488 Words   |  6 PagesBut First, Let Me Take a Selfie A lot of people from the average citizen to Barack Obama, the President of the United States, take selfies. A selfie is basically a picture of yourself, a self-portrait that is usually shared on any social networking site. By just switching to front camera with just a tap, anyone is able to take a selfie. It is a popular trend and is a part of our modern day culture that a lot of us engage without a second thought, as if it is as much as who we are or as the clothesRead MoreSelf-Images and Selfies1509 Words   |  6 PagesSelf-Image and Selfies: A Freudian Analysis Chosen as Oxford dictionaries as the 2013 word of the year, the term selfie refers to â€Å"a photograph that one has taken of oneself, typically with a smartphone or webcam and uploaded to a social media website. The term has made a definite mark on popular culture, the frequency usage increased over 17,000% in the 2012-2013 year (BBC News). With the rise in popularity there has also been much discussion on the possible effects of the selfie phenomena. SomeRead MoreVisual And Statistical Manual Of Mental Disorders990 Words   |  4 PagesOxford dictionary added the word â€Å"selfie† in August 2013 being defined as a photograph that one has taken of oneself, typically one taken with a smart phone or webcam and uploaded to a social media website (Augarde, 1981). Its not you its me: The Science Behind the Selfie is a recent news article that came out addressing the complexity behind what a selfie represents and what people are really trying to convey or masque. Throughout t he past five years the word selfie has been added to the dictionaryRead MoreSocial Network Sites and Social Interaction1403 Words   |  6 PagesIntroduction Literature Review Human beings are social beings and as such, social interaction with others is crucial to one’s definition, and perception of the self. Social interaction happens everyday, and there are many components that work collaboratively in order to make these encounters flow in a smooth manner (Goffman). Everyone engages in what Goffman called impression management (IM) and this is which means that every participant in a social interaction defines the situation with the informationRead MoreSelfie Addiction and its Psychological effects to Adolescents2063 Words   |  9 PagesSelfie Addiction and its Psychological effects to Adolescents Thesis statement: Social media and the mobile web have given rise to a strange phenomenon called â€Å"Selfie†. It may be the 2013 word of the year, but for certain at-risk people, taking selfies just may be dangerous. What is Selfie? According to Oxford English Dictionary, it is a photograph that one has taken of oneself, typically with a smart phone or webcam and uploaded to a social media website. You see them allRead MoreAssociation Among Self Photography And Self Esteem, And Narcissism1218 Words   |  5 PagesAssociation Among Self-Photography and Self-Esteem, and Narcissism The procreation of social media in daily life has caused various questions about how individuals display themselves in these platform. The recent studies explored the association between self-esteem and the posting of self-photographs on a social media networking site such as Instagram, Snapchat and Facebook. Social media arenas have become strikingly popular in the past decade serving the varied communicative intentions. Despite

First Foods Online Food Delivery Plan

Question: Discuss about the First Foods Online Food Delivery Plan. Answer: Introduction First Foods is an online food delivery organization started to fill the prevailing market gaps and opportunities available in E-commerce business sector. This organization is meant to allow various customer to make orders for food and drinks at their places of work, indoors at home or any other place. First Foods Online Food Delivery Plan Introduction Mission First Food online company will work with various major hotels and restaurants to provide food to various customers at their specification. Objective The main objective for this organization is to allow customers of various First Food hotels and restaurants to have access to various services at their specified locations (Honig Karlsson, 2014). Marketing Plan The organization will provide services to children, youths, adults, and aged and working class individuals. The main targeted groups are the working class people who have few minutes for lunch break (Chen, Yao Kotha, 2009). The organization has developed online sites where customers can create account and order food. There is also a mobile application which customers are able to use in order to order food. Necessities The company will succeed only with use of various resources. Most of the employee will be IT experts, website, mobile applications, delivery vehicles, drivers, chefs and restaurants. Competitive Analysis Competitive Advantage The company is operating in an environment with less c0mpatition and few firms compared to other business sectors (Chen, Yao Kotha, 2009). The prior establishment of various restaurants and location of the business headquarters within the main city gives it advantage accessing customers compared to other business. Threats The main threat the organization is likely to face is stiff competition from already established firms like Delivery Hero and Menulog. Development Plan The organization is meant to deliver food to the customers in less than ten minutes after order. This is meant to beat other competitors in the market who use 20 minutes time span between order and delivery (Chen, Yao Kotha, 2009). Use advanced technology and create many restaurants in every part of the country in order to reach the extended market. References Chen, X. P., Yao, X., Kotha, S. (2009). Entrepreneur passion and preparedness in business plan presentations: a persuasion analysis of venture capitalists' funding decisions. Academy of Management journal, 52(1), 199-214. Honig, B., Karlsson, T. (2014). Institutional forces and the written business plan. Journal of Management, 30(1), 29-48.

The Emerging Leader Leadership Development Based by Magnet® Model

Question: Discuss about The Emerging Leader for Leadership Development Based by Magnet Model? Answer: Needs are the gaps present between the desirable situation and the actual situation regarding any particular topic. This is very relevant to nursing, as this field requires a process by which priorities can be determined, and improvements can be made (Nguyen Brenda Zierler, 2011). Needs assessment helps in better patient outcomes with respect to the nursing field (Horsch et al. 2011). The present needs assessment done was on the subject of leadership development in nursing. This was done in order to meet the healthcare needs. Development of a leadership area for nursing would help the interdisciplinary teams in making the plan for better care. This writing is on the needs assessment done, the methodology, in brief, the data collected, interpretation and analysis of data and future implications. A conclusion has been drawn after that from the nursing leadership needs assessment undertaken. Procedure The emphasis during the needs assessment was on the present leadership in nursing and the requirement to develop it, a prediction of the future need of the nursing leadership, the needs of the patient and their families who are the end recipients of health care, organisational assessment of leadership and how a leadership program can fulfil the needs for the practice settings. The present needs assessment was carried out by taking interviews of the stakeholders. Ten multi-specialty hospitals were chosen as the settings and the critical care wards and the geriatric wards were included in the assessment. The participants were 5 registered nurses, five enrolled nurses from each of the wards, ten patients from each of the wards and one family member of each patient. Open-ended questions were asked to the participants and recorded in an appropriate manner. Ethics was maintained while doing so and the participants comfort was taken care of. These are crucial while conducting interviews (Lucas, 2014). The needs assessment was done by allocating time from the clinical hours. Appropriate utilisation of time made the process of carrying out the assessment easy and convenient (Knutsen-Larson et al. 2012). One hospital was taken at a time for undertaking the assessment and on completion of the assessment with all the participants, mainly the nurses and the patients, the next hospital was taken up. In cases where the family members of the patients could not be contacted within the allotted time, it was noted down and made sure that the person is contacted afterwards. For proper data collection, it was very much essential to have a complete set of data. Data collection and interpretation The findings revealed that nursing leadership development need was the greatest in the area of developing the profession. This involved interdisciplinary and organisational working, interaction with other professionals in the health care sector and making the impact on the health policies and clinical decision-making. On the other hand development need was considered as lower in aspects having relation to managing patient care delivery in an effective manner and the system of care within which enrolled nurses and registered nurses operate. Enrolled nurses reported higher leadership development needs than the registered nurses. The differences were in dimensions of a presence of skills for clinical leadership and development of the profession. A significant difference was observed between the enrolled nurses and the registered nurses in the field of managing the clinical section of nursing. This analysis revealed that the enrolled nurses expressed a greater leadership development need. There were no particular differences between the enrolled nurses and the registered nurses in the dimensions of developing the individuality, incorporating self-development and self-awareness. These were seen as important. The interviews conducted confirmed the main findings from the national survey. The results of the interviews showed some amount of disagreement on the definition of clinical leadership. There was a consensus that it was founded on experience, credibility and expertise. Being a clinical leader was taken up as the most challenging aspects for enrolled nurses because of the new responsibilities, poor definition of the role and conflicting ideas. The interviews indicated that nurses are the clinical leaders who can be considered as the guardians of patient care, and it is thereby expected that they undertake advanced practice by implementing advocacy for the interests of the patients and maintenance of the care standards. One significant aspect that needs to be mentioned in relation to the assessment is that the nurses among the participants thought themselves to be well placed for providing clinical leadership. The issue was that they pointed out was that the role they had been often misused and the contributions they made were unrecognised to a great extent. Discussion As nurses move apart from direct nursing care or are new to the nursing field, they are not much sure of the roles they have and therefore, the nursing leadership needs are more (Sandstrm et al. 2011). The successful development of nurses as clinical leaders needs planned approaches and different techniques that certainly takes into account team, individual and health care setting characteristics (MacPhee et al. 2012). Nursing leadership needs are greater in aspects that are related to interprofessional working. Need is taken up as lower in aspects that are directly associated with direct care (Curtis et al. 2011). Nursing leadership development programs must be constructed after the nurse development needs are well known. As nursing leadership is a shared responsibility, the registered nurses must help the enrolled nurses in implementing effective nursing leadership. If they work together, they can definitely secure the influence and recognition they need in relation with nursing le adership. Partnership arrangements between nursing educators and health services can thus provide the synergies for strategic development of nursing leadership. Future implications The needs assessment done throws light on the present situation of nursing leadership and its role in the health care sector. It can be said that a national clinical leadership framework is required for supporting all grades of nurses. What is significant in this regard is that there is a need to recognise the fact that different clinical grades may have separate and individual needs. A combined approach accounting for leadership development and a leader is very much required (Corazzini et al. 2014). Leadership development must help nurses to maintain their nursing practice within the context of their health care organisation. In particular, strategies must be developed for helping the nurses articulate the discrete contribution to patient care. Both leadership development, on an interpersonal and organisational basis, and leader development, on interpersonal and organisational basis must be taken up as part of the broad spectrum of clinical and nursing leadership development (Benjam in et al. 2011). Development programs incorporate the essential learning experiences based in health care settings, and opportunities must be given to the nurses taking part in it for reflecting on the experiences they have. More needs assessments must be carried out for putting forward more recommendations for bringing improvements in nursing leadership. Conclusion Much difference persists between the desirable scenario on nursing leadership and the actual present scenario as experienced by the nurses and the patients along with the family members. Moreover, the enrolled nurses, including the novice nurses, needs more leadership skills that registered nurses. For meeting the nursing leadership development needs, the nurses must undertake the effective programs for developing education and providing training. Such programs will include rich content on the basics of leadership as the foundation for development. A complete package for leadership development training must incorporate expert input in the theoretical aspects, interdisciplinary learning and experiential learning in nursing practice (Blumenthal et al. 2012). Theory elements can be developed and then executed using the several available study methods, including modern methods like e-learning. The overall positive impact of enhanced nursing leadership will therefore be on better patient care as reflected by better patient outcomes. References Benjamin, K., Riskus, R., Skalla, A. (2011). The Emerging Leader: Leadership Development Based On The Magnet Model.Journal of Nursing Administration,41(4), 156-158. Blumenthal, D. M., Bernard, K., Bohnen, J., Bohmer, R. (2012). Addressing the leadership gap in medicine: residents' need for systematic leadership development training.Academic Medicine,87(4), 513-522. Corazzini, K., Twersky, J., White, H. K., Buhr, G. T., McConnell, E. S., Weiner, M., Coln-Emeric, C. S. (2014). Implementing culture change in nursing homes: An adaptive leadership framework.The Gerontologist, gnt170. Curtis, E. A., Sheerin, F. K., de Vries, J. (2011). Developing leadership in nursing: the impact of education and training.British Journal of Nursing,20(6), 344-352. Horsch, A., Hapfelmeier, A., Elter, M. (2011). Needs assessment for next generation computer-aided mammography reference image databases and evaluation studies.International journal of computer assisted radiology and surgery,6(6), 749-767. Knutsen-Larson, S., Dawson, A. L., Dunnick, C. A., Dellavalle, R. P. (2012). Acne vulgaris: pathogenesis, treatment, and needs assessment.Dermatologic clinics,30(1), 99-106. Lucas, S. R. (2014). Beyond the existence proof: ontological conditions, epistemological implications, and in-depth interview research.Quality Quantity,48(1), 387-408. MacPhee, M., Skelton Green, J., Bouthillette, F., Suryaprakash, N. (2012). An empowerment framework for nursing leadership development: supporting evidence.Journal of Advanced Nursing,68(1), 159-169. Nguyen, D. N., Brenda Zierler, R. N. (2011). A survey of nursing faculty needs for training in use of new technologies for education and practice.Journal of Nursing Education,50(4), 181. Sandstrm, B., Borglin, G., Nilsson, R., Willman, A. (2011). Promoting the implementation of evidence based practice: A literature review focusing on the role of nursing leadership.Worldviews on Evidence Based Nursing,8(4), 212-223.