The Rights Of Women In Afghanistan Sociology Essay

The Rights Of Women In Afghanistan Sociology Essay Majority of Afghanistans nationalities profess Islam as their religion. Originally Islam religion regards men more superior than women in every aspect of life. Due to civilization across the world, Islam reformed and some of its doctrines were changes in favor of women. Equality among human beings was included in Islam, regarding men and women equal in various ways. Since then Islam women acquired different rights that allow them to choose marriage partners, inherit, vote and work among other rights. In Afghanistan, women have experienced continued denial of such rights despite acceptance according to Islam doctrines (Mittra and Kunar 267). Fathers, husbands, brothers and government decrees are some of the factors that hinder women from enjoying their human rights in Afghanistan. Most of these restrictions were rampant during rule of Taliban who forced Afghan women to abandon their decent jobs such as teaching and remain indoors or when outside they ought to be in a mans escort. Since 2001, a new era began with end of Taliban reign; an improvement was recorded in regard to cultural and political position of women in Afghan. Human rights accepted under Islam law, so far are practiced in various parts of Afghan though in rural and remote areas many population regard women unequal (Zama and Sifton 25). For instance, cases of forced marriages, death threats due education matters and denial of chance to participate or enjoy public life are recordable according to research. Inequality and repressiveness of women in Afghanistan can be further be illustrated by statistics that show 75% of women are forced into marriages, 87% of women are illiterate, 33% of women experience sexual violence or physical assault, in every 30 minutes death occurs in relation to child birt h and only 30% of girls access education in Afghanistan. Literature review Introduction Afghanistan remains one of many Islamic regions where women are denied their rights and freedom. Despite acceptance by Islam Laws and governmental regulations and policies to uphold Afghan womans rights throughout in Afghanistan, many Islamic men have continued to oppress women. Most of womens rights have been upheld following intense campaigns by human rights activities from Afghan and other parts of the world (Thomsen 227). Also government efforts have helped in promoting equality by criminalizing oppression of women despite their originality and religion. Most of these changes are focused on matters that concern education, marriage and public life. In literature review section of this research, rights of Afghans woman in regard to freedom of live, dressing, education, marriage and expression will be discussed. Recommendations and conclusion will follow this discussion as part of this research work. Communication freedom Currently, Afghanistan is undergoing reconstruction after many years of war and reign of Taliban. During 1995-2001, Afghan remained under dictatorial leadership by Taliban who encouraged oppression of women and girls through out Afghan. Talibans brutality was to extent of denying women a chance to communicate with other women apart from family members. In most cases, women remained locked in their houses with small dark windows hence disallowing public intermingling. According to research, an Afghan woman could only walk to public with a company of a male counterpart who was supposed to be of the family (Osmańczyk and Mango 2708). These men act as a barrier to communication and information flow among women and men in public. Information could only be acquired from husbands, brothers and fathers who also were women oppressors according to Talibans regulations. Harsh circumstances under which afghan women lived in were not conducive for effective communication. Women associa tions that encourage information sharing in regard to social affairs are not allowed in most parts of Afghanistan. Information flow from one Woman to another is difficult in such situations hence hindering effective communication. As much as right of expression is among rights upheld by Afghan government, many women are denied such rights by men close in their lives. Womans opinion is regarded inferior and a chance to speak out is not availed to many women willing to do so. Rising of voices is made difficult due to widespread of discrimination against female gender in other major areas that contribute towards information flow. Lack of education for girl-child is a major hindrance to free flow of information. Many Afghan women can only converse in their vernacular languages due to illiteracy (Mittra and Kunar 143). Lack of access to education continues to pin many women down in decision making even those concerning their own plight. Lack of ideas coupled with fear is a key factor that makes Afghan women lag behind in raising their voices beyond their homestead. Freedom of communication by women is also prevented their lack of voting freedom. Many women are hindered fro acquiring voting cards to prevent them from taking part in political decisions. Instances of murder of electoral commissioners who tried to register women for voting processes show how far brutalism and discrimination against women has extended in Afghanistan (Thomsen 270). Such situations block womens effort to communicate their views in regard to type of governance they want. Similarly, women candidates can not be enrolled easily for similar positions to those held by men due to repression in association to voting rights. Women representatives in other parts of the world represent other women opinions therefore ensuring plight of female gender is communicated to authorities. In Afghan such chances are not provided hence continued lack of communication freedom. Additionally, lack of media freedom is another obstacle that contributes to communication problems in Afghanistan. Widespread violence coupled with political wrangles in Afghanistan prevents media efforts in steering women in fighting for their rights by speaking out loud. For instance, many journalists have been killed including and others such as Kambakhsh imprisoned for exercising their expression rights (Afkhami 179). Such situations leave women threatened and in fear of going against their male counterparts hence remain silent and oppressed. A country without freedom of expression by non-Taliban has efforts by women to communicate their views to governing bodies. Such strictness by rulers and men in the society has hindered efforts for free communication among women and men. This situation is changing as women with the support of their men, actively create awareness in regard to human equality across Afghanistan. Formation of RAWA in 1977 was an effort to eradicate violence against women and air their voices to the world. RAWA is an organization established by women and its goal is to promote Afghan women rights (Silkenat and Shulman 64). The organization major objective is to create awareness throughout Afghanistan concerning plight of girl-child and women. It also aims at reaching as many women as possible by communicating benefits of treating women with equality. Organization airs womens voices through conferences, public campaigns, internet and demonstrations. RAWA efforts have been realized over the years though right of expression by Afghan women is yet to be gained fully. Freedom of women and girls lives Since the seizure of power by the Taliban in Afghanistan, over 9 million women and girls have been denied basic human rights. This government has imposed laws against women citing religious purity while in the real sense it is persecution against women. For instance, Afghan women are not allowed to either go to school or work away from home a move which has led to closure of several schools owing to shortage of teaching staff as prior to the invasion of the Taliban about 70% of the teaching fraternity comprised of women (Afkhami 201). Devastating effects have been advanced towards widowed women who were the only source of livelihood for their families. In case women and girls want to leave their homes, then they must be escorted by a male relative. A whole body covering known as burqa must be worn. Instances of killings and beatings of the women have been witnessed due to failure of the women to be fully covered or escorted. Specific aspects of life on which Afghan women are oppresse d and to be discussed under this heading include education, marriage and dressing Education A large percentage of women in Afghanistan are illiterate due to banning of schooling for all women and successive wars in the nation had completely paralyzed the Education system. During the reign of the Taliban, community schools were opened and ran by women where girls were taught literacy skills, numeracy skills and such like subjects as Biology, English, cooking, and knitting (Zama and Sifton 27). Unfortunately instances of torture and killings of women teachers by the Taliban were witnessed. After the overthrow of the Taliban administration, substantial aid was advanced to the Karzai administration in order to restore the girl-child education. Lack of funding poses major setbacks to girl-child education with many girls opting to drop out as the facilities are not conducive. For instance, the learning facilities under unprotected structures like tents. Lack of women teachers means that majority of the girls do not attend school as their parents fail to place the care of the girls under men teachers. Since most of the girls schools were destroyed during the Taliban administration, girls and boys learn in the same facilities: a move which has caused massive criticism especially from high ranking government officials (Thomsen 184). This largely translates to discrimination and lack of freedom. Several Afghanistan women have consistently risked their lives by running clandestine schools for the women population. From 2001, Education facilities have recorded increased numbers of female students though persistent attacks by the Taliban as well as other forces present in the area continue to demean the progress achieved in the female Education sector. Cases girls dropping from schools before completing primary level education have been witnessed due to early marriages and family obligations Dressing The Afghanistan women have continually suffered turmoil especially in the type of dressing they are supposed to constantly wear. A specialty made traditional garment known as the Burqa which covers the whole body with a small grind for seeing and breathing must be worn by the women. The Burqa is extremely uncomfortable especially during hot weather (Silkenat and Shulman 58). The excessive covering may instigate illnesses such as asthma due to the discomfort of the dress as dust sticks thus enhancing dampness during breathing. The visibility of the wearer is largely limited as the size of the mesh opening does not provide adequate perceptibility. Afghanistan women claim that when they are wearing the burqa, total invisibility is exuded. It is impossible to know the kind of emotion displayed by a woman during normal conversation. Marriage In this patriarchal society, decisions are largely made by men fraternity. Women do not have the freedom to choose their marriage partners. Arranged marriages are largely advanced in this country based on economic and political reasons. Instances of girls being engaged before they are born are widespread (Zama and Sifton 54). The authority of who should marry a girl lies with the father who can opt to wed his daughter to a person who may be very old but rich. In areas badly hit by poverty, girls are sold off or exchanged for meals. Women are treated as properties as once the marriage contract is signed the girl cannot marry another man. In case she dies a suitable replacement must be offered. Violent cases have resulted when multiple betrothing is done so as to collect dowry from several men. Dowry payment is regarded as compensation for the care and upbringing of the bride. A married Afghanistan woman is controlled by the mother-in-law who makes such critical decisions on her behalf as whether to attend hospital or not and the activities to undertake (Thomsen 130). Women do not receive custody of children in case of a divorce. Though obtaining a divorce is largely difficult for women who are in abusive marriages, the divorced Afghanistan women are regarded as outcasts especially due to the Islamic beliefs and traditions. Recommendations Afghan women should fight for a chance to speak out and join others international women who are fighting against women oppression. By communicating their views to their spouses, brothers and the public will be a major start step towards their social life improvement. Freedom of expression is known as an effective tool for resistance against practices that oppress women. Lack of such freedom, means Afghan women may continue to tolerate discrimination by men under religious grounds which are used for personal political benefit. Social oppression can be overcome through speaking out in any context cultural, political or religious. Granting of women rights in education, employment , leadership and other roles in public life come as a primarily result of women expression against discrimination. Opening of communication channels in Afghanistan is a basic step in eliminating injustices that surround lives of many women and girls. Of importance is the right to vote, that has been used by many countries in defining future of women in those countries. I recommend Afghan women to retain and utilize their rights to vote intelligently as it is part of decision making. Through voting women elect leaders in support of their rights therefore acquiring access to equal opportunities similar to those awarded to men. Continued efforts by women by speaking out, eventually leads to liberation of girls and women from oppressive societal rules. Again, society starts to appreciate need to uphold plight of women and girls hence creating a balanced society that pays attention to both genders. International community should offer greater support to women organizations working with minority women at the grass roots. Awareness creations through educational programs are essential effort towards liberation of Afghan women from social, cultural, religious and political injustices in Afghanistan. International support through funding and enlightenment of few educated afghan women should be upheld as away of developing strong women leaders in Afghanistan. Conclusion In conclusion, Afghanistan is a region known for oppression of women and girls in various aspects of life. Existence of connection between Islam and governance of Afghans facilitates dehumanization among Afghan women. Most life rights and expression freedom are denied to female gender despite acceptance by Islam doctrines. Afghan constitutional rights are not upheld due lack of commitment by authorities concerned and political instabilities hence impacting on women by denying them their legal and human rights. International intervention has calmed Afghanistan human situation but majority of Afghan women and girls remain discriminated and repressed. Work-cited Afkhami, Mahnaz. Faith and freedom: womens human rights in the Muslim world. Syracuse, NY: Syracuse University Press, 1995. Mittra, Sangh and Kunar, Bachchan. Encyclopaedia of Women in South Asia: Afghanistan. New Delhi, India: Gyan Publishing House, 2004 Osmańczyk, Edmund and Mango, Anthony. Encyclopedia of the United Nations and International Agreements: T to Z. London, UK: Taylor Francis Press, 2003 Silkenat, James and Shulman, Mark. The imperial presidency and the consequences of 9/11: lawyers react to the global war on terrorism. Westport, U.S.A: Greenwood Publishing Group. 2007 Thomsen, Natasha. Womens rights. New York. U.S.A: Facts On File publisher, 2007 Zama, Coursen-Neff and Sifton, John. We want to live as humans: repression of women and girls in western Afghanistan. Washington, D.C: Human Rights Watch, 2002

The Treatment Of Rheumatoid Arthritis Health And Social Care Essay

In the current scenario, a 64-year-old female patient has suffered from Rheumatoid arthritis ( RA ) and she seemed to demo no betterment despite her current intervention for 6 months. RA is a chronic redness disease and harmonizing to the study of National Institute for Health and Clinical Excellence ( NICE February 2009 ) RA affects 10000 people each twelvemonth in the UK population. RA is characterised by swelling and painful articulations, usually symmetrical and frequently impacting diarthrodial articulations of custodies and pess [ Firestein GS. , 2003 ] . Although RA normally attacks articulations, it can besides impact other variety meats such as bosom, lung and eyes. The exact pathogenesis of the disease still remains to be discovered. However, autoimmunity activities are believed to be to play a major function in the development of the disease. The unnatural release of inflammatory factors such as interleukins ( IL ) and tissue mortification factor ( TNF ) by the peripheral inflammatory cells such as CD4+ T cells, B cells and macrophages are involved in the patterned advance of RA which leads to inflammatory reaction at the synovial fluid ( SF ) and synovial tissues ( ST ) that line the joint and resulted in joint devastation [ Agarwal et al. , 2005 ] . When the redness progresses into farther phase, portion of the synovial membrane which envelops the SF will develop into pannus which is an inflammatory tissues that farther assail the joint and gristle and may take to joint merger by let go ofing destructive enzymes such as collagenase. Harmonizing to Scots Intercollegiate Guidelines Network ( SIGN 48 ) guidelines, RA is normally diagnosed by recovering patient ‘s medical history and scrutiny on elevated degree of inflammatory markers such as non-specific erythrocyte deposit rate ( ESR ) , C-reactive protein ( CRP ) and a more specific arthritic factor, which is an auto-antibody nowadayss in 80 % of RA patients [ Firestein GS. , 2003 ] . The incidence of RA may non be seen every bit serious as other diseases such as cardiovascular diseases and malignant neoplastic disease which recorded a higher morbidity and mortality rate, but one time the disease progresses, it can give a great impact on patient ‘s day-to-day life. It accounts for 0.8 % of entire planetary Year Lived with Disability ( YLD ) , which is the 31st prima cause of YLD globally [ Symmons et al. , 2006 ] . As a chronic redness disease, RA causes lasting joint harm if it is non treated suitably every bit shortly as possible and a long-time medicine is required to decelerate down the patterned advance of the disease. The joint harm starts at the early phase of disease and worsens increasingly resulted in troubles in patients ‘ day-to-day work. A simple day-to-day undertaking such as opening a bottle or walking across the room can ensue in great hurting for RA patients. Some patients might even necessitate to discontinue or alter their current oc cupation due to sore articulations. Epidemiology survey showed that RA is associated with decreased life anticipation and increased mortality [ Anthony et al. , 2003 ] . As RA develops, the disease finally invades the bone around the joint and may take to osteoporosis due to inflammatory activities. Furthermore, RA intervention utilizing corticoid besides increases the hazard of osteoporosis due to depletion of Ca and increase loss of bone mass [ Kelman et al. , 2005 ] . Besides that, merely like other redness diseases, RA patients can confront anemic jobs where red blood cells production is inhibited during redness. After the importance of early intervention of DMARDs has been recognised, the old â€Å" intervention pyramid † used in RA which started off with diagnostic intervention utilizing anodynes such as NSAIDs has been reviewed. The â€Å" intervention pyramid † describes the usage of anodynes in the early phase of disease to alleviate hurting and merely starts DMARDs when the disease develops into more advanced phase where NSAIDs can no longer command the hurting and redness. However, several surveies have shown that protection of articulation from harm utilizing DMARDs should be started every bit shortly as possible to supply better patients ‘ forecast and continue patient functional ability [ Egmose et al. , 1995 ; van der Heide et al. , 1996 ] . Therefore both NICE and SIGN guidelines suggest the early usage of DMARDs to command and detain RA symptoms after diagnosing of RA is confirmed. There is no definite intervention for RA as patients may react otherwise to the assortment picks of RA pharmacological therapy. Normally RA patients would be started with the most normally used DMARDs and reviewed invariably for drugs effectiveness until symptoms are well-controlled by the DMARDs therapy. Further change in the intervention needs to be done if no satisfactory response is achieved. As in this instance survey, the female patient has failed to react to six-month intervention of sulfasalazine, which is one of the commonly used DMARDs in commanding RA. Thus an option should be sought every bit shortly as possible to forestall major joint devastation.TreatmentHarmonizing to NICE guidelines 2009, it is stated that if RA patient does non react to the first DMARDs intervention, the dosage of the drug should be reviewed and focused to supply an effectual and suited dosage for the patient before a 2nd option of DMARDs is sought. In the current scenario, the patient had failed to react to six-month therapy of SLS, it is assumed that the dosage of SLS had been adjusted to the possible maximal bound but still demo no benefit in the patient. Thus, farther intervention would be focused on seeking for an alternate DMARDs. DMARDs are drugs from different categories that are grouped together due to their similarity in decelerating down the patterned advance of RA and understating joint devastation caused by RA besides commanding the symptoms. The normally used DMARDs include sulfasalazine ( SLS ) , amethopterin ( MTX ) , gold, Cuprimine, anti-malarial, azathioprine, leflunomide and cyclosporine. SLS and MTX are most preferable in clinical pattern due to their favourable toxicity profiles although intramuscular gold and Cuprimine had shown similar effectivity in handling RA [ Aletaha et al. , 2003 ; Felson et al. , 1990 ; Capell et al. , 1993 ] . MTX and SLS were considered to be safer at usage as it was shown that there was no important difference in the incidence of side-effects reported between high and low dose intervention of the drugs [ Aletaha et al. , 2003 ] . Since the patient has failed to react to SLS, MTX would normally be the following option in head. However, there is a pick to do whether t o utilize MTX in combination with SLS or replace SLS with MTX as monotherapy. DMARDs combination has been recommended in NICE guidelines for early RA intervention, but more clinical groundss need to be sought for the usage of combination in established RA, which is pictured in the current scenario as the patient has been suffered from RA for more than 6 months and immune to SLS therapy. Three surveies were found to compare the usage of MTX monotherapy and dual-therapy with SLS in patients unresponsive to SLS. Among the three, two were randomised controlled tests ( RCT ) while one was non-randomised experimental test [ Haagsma et al. , 1994 ; Capell et al. , 2007 ; Schipper et al. , 2009 ] The first RCT was carried out in 1994 which merely included a little figure of patients ( n=40 ) based on a single-observer method over 24 hebdomads while a longer continuance ( & gt ; 18 months ) of double-blind placebo-controlled survey with a larger survey group ( n=165 ) was adopted in the 2nd RCT in 2007. Despite the difference in the survey features, both RCTs concluded that MTX-SLS double therapy had a greater efficaciousness in commanding symptoms over MTX monotherapy in SLS-resistant patients without important addition in toxicity. However, although the 2nd RCT had shown important clinical benefits for combination therapy compared to the usage of monotherapy, no important advantage was seen in radiological results or functional disablement. The 3rd survey was a recent test published in 2009 investigated 230 patients who were immune to SLS intervention utilizing the similar intervention magnitude as the old surveies to measure the drug efficaciousness. This test was carried out for more than 15 old ages and concluded that that both options provided similar consequence. The disagreement was believed to be caused by the deficiency of control group in the ulterior test which might lend to biased consequences and inconsistent usage of other drugs such as corticoids in different tests which might misdirect the reading of drug efficaciousness. Besides efficaciousness and toxicity, cost of intervention is the following of import factor to be considered in taking the right intervention for the patient. However, really few surveies were done comparing the cost-effectiveness of different DMARDs because RA is non every bit prevailing as other major diseases such as cardiovascular diseases and it does non normally result in immediate decease. The more recent cost-effectiveness analysis on DMARDs was done in Thailand from the social point of position where the costs included a direct cost and indirect cost [ Osiri et al. , 2007 ] . In order to enable numerical comparing, the cost-effectiveness of the therapies was measured utilizing the Incremental Cost-effectiveness Ratio ( ICER ) which is the entire cost in US dollar needed to accomplish one unit of ( HAQ ) Health Assessment Questionnaire, which comprised of 20 inquiries on patients ‘ self-report functional and disablement position. The ICER of each intervention was compa red against the anti-malarial monotherapy as anti-malarial was recognised as the cheapest and least efficacious DMARDs available. Comparing among the sum of 152 RA patients, it was found that MTX and SLS therapy recorded a three times lower ICER compared to MTX monotherapy, which explained that the double therapy was less dearly-won and more effectual compared to the monotherapy ( US $ 625 versus US $ 2061 per one unit of HAQ mark ) . However, this survey was non specifically directed to SLS-resistant patients. Therefore, merely a comparative comparing can be made on the cost for the current scenario. The following option of intervention for the current patient is the usage of three-base hit therapy which uses MTX, SLS and an anti-malarial. It was shown in a biennial, prospective randomised test on 180 patients that the ternary therapy had given a better curative efficaciousness over the dual- ( MTX and SLS or MTX and anti-malarial ) and MTX monotherapy irrespective of the drugs given in the early RA intervention [ Calguneri et al. , 1999 ] . Again, the incidence of inauspicious effects did non increase significantly with the addition in figure of drugs. The enhanced benefit by adding an anti-malarial agent to MTX intervention had further strengthened the grounds shown antecedently by a long-run followup survey on patients who were treated with ternary therapy. It was shown in the old survey that patients who had failed to react to at least one DMARD and treated with ternary therapy had shown continued betterment with minimum toxicity after 3 old ages compared to MTX monotherapy a nd SLS-hydroxychloroquine therapy [ O'Dell et al. , 1999 ] . Addition of anti-malarial agent to MTX had been shown to execute better than MTX-SLS combination, which proposed an implicit in interactive activity of anti-malarial and MTX when they are used together likely due to heighten MTX bioavailability by anti-malarial [ O'Dell et al. , 2002 ; Carmichael et al. , 2002 ] . In footings of the intervention cost, based on the same cost-effectiveness survey mentioned above, ternary therapy recorded a lower ICER ( US $ 1222 per one unit of HAQ mark ) than MTX monotherapy, but about twice every bit high as the ICER of MTX-SLS therapy. Other than utilizing the traditional DMARDs, the freshly developed biological anti-rheumatic drugs are besides being studied for SLS immune patients. Since RA involves a great trade of cytokines activities, specific cytokines blockers have been investigated to stamp down or modify the redness procedure. The most normally used biological agents include infliximab, etanercept and adalimumab which target the tissue mortification factor, TNF-I ± , which is one of the chief cytokines released by macrophage that farther induces the release of other cytokines which are responsible for the redness. NICE guidelines emphasized that TNF-I ± inhibitors can merely be used when the patient has failed to react to intervention of at least two DMARDs including amethopterin. However, Combe et Al. had tried a different attack where Enbrel has been used and investigated in patients specifically having SLS intervention but still have ailment of active RA without affecting MTX [ Combe et al. , 2006 ] . It was found that etanercept monotherapy or in combination with SLS had given better betterment in American College of Rheumatology ( ACR ) standards compared to patients treated with SLS entirely. There was no important difference in the efficaciousness in the etanercept monotherapy and combination group. However, there was a significantly higher incidence rate of side-effects such as concern, sickness and astheny in the combination group while a higher hazard of infections and injection side reactions were recorded in patients with etanercept entirely. Besides that, as a biological drug, TNF-I ± inhibitors can non get away the fact of doing serious inauspicious effects such as malignance, demyelination and increased susceptibleness to infections like TB [ Nahar et al. , 2003 ] . However when the ratio of efficaciousness over toxicity is concerned, a meta-analysis showed that TNF inhibitors have a higher ratio than gold and sulfasalazine [ Ravindran et al. , 2008 ] . Again, whe n cost is concerned, etanercept intervention, as expected is much expensive compared to DMARDs, where the cost was shown to be more than twice higher than the most expensive DMARD available, cyclosporin [ Jobanputra et al. , 2002 ] .TREATMENT RECOMMENDATIONComparing the four options available, MTX monotherapy, MTX-SLS dual-therapy, ternary therapy and etanercept therapy, MTX-SLS dual-therapy seems to be the best intervention for the current patient as it is supported by groundss for its lower cost with comparable efficaciousness in SLS immune patients. It might non be the most effectual intervention compared to treble therapy, but it is ever advisable to understate the figure of drugs used in a patient to forestall unneeded inauspicious effects or drug interactions. However, there is still possibility that the patient may still be unresponsive to the dual-therapy as there is no definite warrant on the action of the therapy on every RA patient and the possibility of developing immune to MTX. Thus, the National Clinical Guidelines recommends monthly reappraisal of CRP ( C-Reactive Protein ) , an inflammatory marker and other cardinal constituents of disease activity such as DAS 28 ( Disease Activity Score based on 28 articulations ) until the disease is controlled by the given intervention to a degree antecedently discussed and agreed by the patients. If there is still no satisfactory respond, farther change in the therapy needs to be done such as sing the ternary therapy or etanercept therapy. Besides giving the slow-acting disease modifying drugs, SIGN 48 guidelines suggest the usage of intra-articular injection of corticoids to give rapid diagnostic alleviation before the oncoming of the new DMARDs therapy. Oral corticoids are non preferred to be used as a long-run intervention as it can do serious inauspicious consequence on bone mass and GI systems and it merely shows benefit in the early intervention of active RA [ Saag et al. , 1995 ; Kirwan et al. , 1995 ] If injection is non possible, so low dosage of unwritten corticoid is used in a shortest continuance possible [ Laan et al. , 1995 ] . For the diagnostic hurting control on top of DMARDs, mentioning to SIGN 48 guidelines, whenever possible, simple anodynes such as paracetamol are preferred over NSAIDs due to set up side-effects peculiarly GI annoyance. If simple anodynes are non powerful plenty to alleviate the hurting, a low dose NSAIDs such as isobutylphenyl propionic acid or more selective Cyclooxygenase ( Cox-2 ) inhibitors such as etoricoxib can be prescribed for the shortest continuance possible. When NSAIDs or Cox-2 inhibitors have to be used, coincident usage of GI protective medicine such as proton-pump inhibitors should be considered for aged and patients with history of GI ulcerations. Both NICE and SIGN guidelines recommend that dosage of NSAIDs should be reviewed and reduced once patients show equal response to DMARDs. In drumhead, the patient should be continued with SLS, at the same clip, added with MTX as the combined DMARDs therapy. In add-on, intra-articular or short-course unwritten corticoid should be commenced as a â€Å" span therapy † before the oncoming of action of the new DMARDs therapy. For diagnostic control, if paracetamol is non equal to relief hurting, NSAIDs such as diclofenac together with a proton pump inhibitor such as Prilosec can be used unless it is contraindicated in the patient, so a Cox-2 inhibitor such as etoricoxib should be used. Besides that, patient would be put on a monthly monitoring to reexamine the effectivity of the new therapy.

Childhood Obesity An Epidemic Essay - 1954 Words

Childhood obesity is not merely an issue in the United States- it is an epidemic. The number of overweight and obese children in America has increased at an alarming rate over the past years, and there is no chance of it slowing down unless action is taken. Obesity puts children at a high risk of developing many serious illnesses. Not only do children who are obese have unhealthy weights, but they also have a high risk of having weak lungs, poor blood quality, and a variety of other sicknesses. Parents have turned a blind eye to their children’s eating habits. A fast-food craze has swept over the country, consequentially leaving a trail of poor nutrition in its wake. Fast-food corporations seem to be encouraging children to consume regular amounts of unhealthy foods by giving away toys with the purchase of a child’s meal Televisions, computers, and video games, which are considered to be technological necessities, have begun to cloud the importance of exercise. These in fluences are all major causes of childhood obesity, which bring an overwhelming abundance of negative effects. Despite the many obstacles, there are ways to slow, if not halt, the outbreak that is childhood obesity. Prevention can be achieved by following a balanced, mostly plant based diet and by participating in a healthy amount of physical activity. Children are considered obese if they have a body mass index that is at least 20 percent higher than the average child for his or her age (Frechette). ParentsShow MoreRelatedObesity : Childhood Obesity Epidemic1418 Words   |  6 Pageshis article â€Å"There is no Childhood Obesity Epidemic† discussed the there is a â€Å"stunning† drop in childhood obesity rate. He claims that obesity rates among two to five year olds have plunged over the past decade, and that the so called â€Å"obesity epidemic† had ended. 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The complications of obesity in the childhood period are broad, those include but limited to: hypertensionRead MoreChildhood Obesity : An Epidemic1036 Words   |  5 PagesRainsu Kumbhani All About Childhood Obesity Childhood obesity is an epidemic in U.S. In the year of 2012, about â€Å"one third of children and adolescents were overweight or obese.† Also, percentages of childhood obesity have increased by over ten percent in the last thirty years in children and adolescents (Childhood Obesity Facts 2015). These statistics are shocking, and many people are concerned for the health of their children. This medical condition, as defined by Mayo Clinic, leads to seriousRead MoreThe Epidemic Of Childhood Obesity Essay1053 Words   |  5 PagesThe Epidemic of Childhood Obesity Childhood obesity continues to increase substantially each generation, especially here in the United States. Today, children have become more lazy while eating unhealthy and in excess. This trend ultimately results in increased healthcare problems throughout their life. Childhood obesity has increased because children eat in excess, they are allowed to eat food which is unhealthy, they lack the exercise needed to maintain a healthy weight, and are permittedRead MoreChildhood Obesity : An Epidemic Essay1641 Words   |  7 PagesChildhood obesity is an epidemic in America. Many experts like doctors and dietitians have narrowed the epidemic to a few causes some being lack of exercise, genetics, and food insecurity. Exercise and genetics could lead to obesity in the way that you need exercise to burn fat and some people are genetically more inclined to store more fat. Obesity is having excessive amount of fat that could lead to other health problem which is scary to think that childhood obesity is something that is on theRead MoreThe Epidemic of Childhood Obesity2154 Words   |  9 PagesIntroduction Childhood obesity is an epidemic that goes on throughout the United States. Studies have shown how obesity in children may start, and how it affects each and every child in America. Childhood obesity has been getting attention in the media from famous celebrities all the way to the First Lady of the United States. There are many things that cause childhood obesity and very few ways to stop it. However, there are people out there who are trying to help by getting children active, eatingRead MoreThe Epidemic Of Childhood Obesity3013 Words   |  13 Pages The epidemic of childhood obesity Childhood obesity is an important issue because of this diseases impact over the past few years. With the changing of lifestyles, the production of children who are not as healthy as they should be has increased. Due to these results, a widespread of children being obese has occurred. The Center for Disease Control, CDC, distinguishes between being overweight and being obese. Overweight simply means that the weight is high compared to others in the same height categoryRead MoreChildhood Obesity Is An Epidemic878 Words   |  4 PagesChildhood obesity is an epidemic that has been spreading around the United States like a wild fire in a dry field, increasing more and more without much resistance to stop it from spreading. The SPARK PE program was created in 1989, and aims to be that resistance against childhood obesity, with carefully planned programs in hopes of showing the youths of America that exercise and proper nutrition can lead to a successful, healthy life (SPARK). SPARK aims at achieving this goal by carefully planning

Sophie Germain - Pioneer Woman in Mathematics

Sophie Germaine dedicated herself early to becoming a mathematician, despite family obstacles and lack of precedent. The French Academy of Sciences awarded her a prize for a paper on the patterns produced by vibration. This work was foundational to the applied mathematics used in construction of skyscrapers today, and was important at the time to the new field of mathematical physics, especially to the study of acoustics and elasticity. Known for:First woman not related to a member by marriage to attend Academie des Sciences meetingsFirst woman invited to attend sessions at the Institut de FranceDates: April 1, 1776 - June 27, 1831Occupation: mathematician, number theorist, mathematical physicistAlso Known as: Marie-Sophie Germain, Sophia Germain, Sophie Germaine About Sophie Germain Sophie Germains father was Ambroise-Francois Germain, a wealthy middle class silk merchant and a French politician who served in the Estates Gà ©nà ©ral and later in the Constituent Assembly. He later became a director of the Bank of France. Her mother was Marie-Madeleine Gruguelu, and her sisters, one older and one younger, were named Marie-Madeleine and Angelique-Ambroise. She was known simply as Sophie to avoid confusion with all the Maries in the household. When Sophie Germain was 13, her parents kept her isolated from the turmoil of the French Revolution by keeping her in the house. She fought boredom by reading from her fathers extensive library. She may also have had private tutors during this time. Discovering Mathematics A story told of those years is that Sophie Germain read the story of Archimedes of Syracuse who was reading geometry as he was killed—and she decided to commit her life to a subject that could so absorb ones attention. After discovering geometry, Sophie Germain taught herself mathematics, and also Latin and Greek so that she could read the classical mathematics texts. Her parents opposed her study and tried to stop it, so she studied at night. They took away candles and forbid nighttime fires, even taking her clothes away, all so that she could not read at night. Her response: she smuggled candles, she wrapped herself in her bedclothes. She still found ways to study. Finally the family gave in to her mathematical study. University Study In the eighteenth century in France, a woman was not normally accepted in universities. But the École Polytechnique, where exciting research on mathematics was happening, allowed Sophie Germain to borrow the lecture notes of the universitys professors. She followed a common practice of sending comments to professors, sometimes including original notes on mathematics problems as well. But unlike male students, she used a pseudonym, M. le Blanc—hiding behind a male pseudonym as many women have done to have their ideas taken seriously. Mathematician Beginning this way, Sophie Germain corresponded with many mathematicians and M. le Blanc began to have an impact in turn on them. Two of these mathematicians stand out: Joseph-Louis Lagrange, who soon discovered that le Blanc was a woman and continued the correspondence anyway, and Carl Friedrich Gauss of Germany, who eventually also discovered that hed been exchanging ideas with a woman for three years. Before 1808 Germain mainly worked in number theory. Then she became interested in Chladni figures, patterns produced by vibration. She anonymously entered a paper on the problem into a contest sponsored by the French Academy of Sciences in 1811, and it was the only such paper submitted. The judges found errors, extended the deadline, and she was finally awarded the prize on January 8, 1816. She did not attend the ceremony, though, for fear of the scandal that might result. This work was foundational to the applied mathematics used in construction of skyscrapers today, and was important at the time to the new field of mathematical physics, especially to the study of acoustics and elasticity. In her work on number theory, Sophie Germain made partial progress on a proof of Fermats Last Theorem. For prime exponents less than 100, she showed there could be no solutions relatively prime to the exponent. Acceptance Accepted now into the community of scientists, Sophie Germain was allowed to attend sessions at the Institut de France, the first woman with this privilege. She continued her solo work and her correspondence until she died in 1831 of breast cancer. Carl Friedrich Gauss had lobbied to have an honorary doctorate awarded to Sophie Germain by Gà ¶ttingen University, but she died before it could be awarded. Legacy A school in Paris—LÉcole Sophie Germain—and a street—la rue Germain—honor her memory in Paris today. Certain prime numbers are called Sophie Germain primes. Print Bibliography Bucciarelli, Louis L., and Nancy Dworsky. Sophie Germain: An Essay in the History of the Theory of Elasticity. 1980.Dalmà ©dico, Amy D. Sophie Germain, Scientific American 265: 116-122. 1991.Laubenbacher, Reinhard and David Pengelley. Mathematical Expeditions: Chronicles by the Explorers. 1998.Sophie Germains story is told as part of the story of Fermats Last Theorem, one of five major themes in this volumeOsen, Lynn M. Women in Mathematics. 1975.Perl, Teri, and Analee Nunan. Women and Numbers: Lives of Women Mathematicians Plus Discovery Activities. 1993.