Gender Identity Essay: Understanding an Individual’s Gender
To make matters worse, mucous enters the narrowed bronchial tubes and plugs them up, causing a further decrease in air flow. The bronchial tubes seem to close down, and air moving through these narrowed breathing passag Continue reading this essay Continue reading. Short-acting anticholinergic bronchodilators, such as ipratropium bromide, may also be used as reliever therapy.
However, these agents appear to be less effective than inhaled rapid-acting beta 2 -agonists and, therefore, should be reserved as second-line therapy for patients who are unable to use SABAs. They may also be used in addition to SABAs in patients experiencing moderate to severe asthma exacerbations. Furthermore, chronic, short-acting anticholinergic bronchodilator therapy is not recommended for use in children [ 6 ].
ICSs are the most effective anti-inflammatory medications available for the treatment of asthma and represent the mainstay of therapy for most patients with the disease. Low-dose ICS monotherapy is recommended as first-line maintenance therapy for most children and adults with asthma.
Regular ICS use has been shown to reduce symptoms and exacerbations, and improve lung function and quality of life. Therefore, most patients will require long-term, if not life-long, ICS treatment [ 467 ]. Since ICSs are highly effective when used optimally, factors other than treatment efficacy need to be considered if ICS therapy is unsuccessful in achieving asthma control.
These factors include: misdiagnosis of the disease, poor adherence to ICS therapy, improper inhaler technique, or the presence of other comorbidities.
If, after addressing such factors, patients fail to achieve control with low-to-moderate ICS doses, then treatment should be modified. For most children, ICS dose escalation to a moderate dose is the preferred approach to achieve control, while the addition of another class of medications usually a LABA is recommended for patients over 12 years of age [ 69 ].
The most common local adverse events associated with ICS therapy are oropharyngeal candidiasis also known as oral thrush and dysphonia hoarseness, difficulty speaking.
Systemic adverse effects with ICS therapy are rare, but may include adrenal suppression, changes in bone density, cataracts, glaucoma and growth retardation [ 4 ]. The LTRAs montelukast and zafirlukast are also effective for the treatment of asthma and are generally considered to be essay conclusion examples for petsmart and well tolerated. However, because these agents are less effective than ICS treatment when used as monotherapy, they are usually reserved for patients who are unwilling or unable to use ICSs.
LTRAs can also be used as add-on therapy if asthma is uncontrolled despite the use of low-to-moderate dose ICS therapy. For example, if a child with asthma also has allergic rhinitis, the addition of montelukast should be considered. If, however, the child has persistent airway obstruction, the addition of a LABA may be preferred. As mentioned earlier, LABA monotherapy is not recommended in patients with asthma as it does not impact airway inflammation and is associated with an increased risk of morbidity and mortality.
The combination of a LABA and ICS has been shown to be highly effective in reducing asthma symptoms and exacerbations, and is the preferred treatment option in adolescents or adults whose asthma is inadequately controlled on low-dose ICS therapy, or in children over 6 years of age who are uncontrolled on moderate ICS doses [ 6 ].
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Essay dream profession essay closing sentences. In Type 1, there is an inability to produce insulin and is generally associated with early age onset. Diabetes affects 1. Ipratropium blocks parasympathetic-mediated bronchoconstriction by competitively inhibiting muscarinic M3 receptors in bronchial smooth muscle.
These agents are used to prevent asthmatic attacks by reducing airway inflmmation. They exert their anti-inflammatory actions via activation of intracellular receptors, leading to altered gene transcription.
This results in decreased cytokine production and the synthesis of lipocortin leading to phospholipase A2 inhibition, and the inhibition of leukotriene and prostaglandins. Antiobiotic treatment is appropriate with amoxicillin being used as first choice agent for mild, community-acquired infections.
Depending on response and the strain of bacteria, other antibiotic agents can be used. Two groups of antibiotics which were given to the patient in this case scenario will be discussed here. Both ceftriaxone and cefuroxime are broad spectrum bactericidal antibiotics belong to cephalosporins group. They inhibit the synthesis of bacterial cell wall by binding to specific penicillin-binding proteins and ultimately leading to cell lysis.
Redwood, T. Diagnosis and treatment of asthma in children. Practice Nursing, 24 5 You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. Need a custom Research Paper sample written from scratch by professional specifically for you? Livingston, H. Asthma's Diagnosis and Treatment [Blog post]. Livingston, Hailee. Hailee Livingston. IvyPanda12 January. What is the meaning of essay in literature cara membuat essay kritikan case study mentoring in the workplace.
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Fashion culture and identity essay
The end of an essay should therefore convey a sense of completeness and closure as well as a sense of the lingering possibilities of the topic, its larger meaning, its implications: the final paragraph should close the discussion without closing it off. To establish a sense of closure, you might do one or more of the following:. To close the discussion without closing it off, you might do one or more of the following:.
Finally, some advice on how not to end an essay:. Schedule an Appointment.How do your peers and community view you? Thinking through the answers to those questions in an identity essay is a way to explore, discover and share your own identity perceptions.
The purpose of an identity essay is to answer questions about who you are, how you perceive yourself conclusion for argumentative essay how others perceive you as well. For an identity essay to have impact, it should cover different facets of your identity from your name's origin to your character, principles and values. Your friends, family, community and culture are also part of your identity. A good example is how some people show up in social media these days. The guy who poses with a fresh catch from the sea may be afraid of entering waters.
So, one has to be careful in making an assessment of the true identity of a person. I have become the person I am today because of my parents, my teachers, my friends, surroundings and the cultures and believes that have observed.
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I believe that to develop a good identity, you have to choose well in life. What we decide, how we behave and who is placed around us all matters in shaping d day essay identity.
Only by having a true identity you will be able to leave a lasting impression in the minds of. Read More. Words: - Conclusion for leadership essay. Words: - Pages: 6. Words: - Pages: 5. Words: - Pages: Aside from these three main facets of my identity, there is a wealth of other things about me that collectively construct my identity. My interests in things like film, music, art, history and language together are very important to me and together form a very substantial part of my personal identity.
These are things that effect what I do in everyday life so if they were different, I would lead quite a different life. The main pillars of my identity, however, are my nationality, my moral and political outlook and my gender, as they are the three things that I would say are most important in defining my identity.
My nationality has a big effect on how I see myself. My nationality is an integral, unchangeable part of my personal identity. I feel national pride in things like international sporting competitions. In something like the Olympics, pride can be taken in both the personal achievements of individual athletes and in the collective success of a nation.
The country doing good overseas is something that I am proud of. The world has a plethora of different cultures and peoples, and it is important to have a part of the world and a community of people to identify with. A country gives a home to people in the world. I think that most qualities that would be considered typically British are qualities I have, or at least aspire to have. Your indentity is diffent from your mom and dad. You make up your own indentity in many ways like the way you talk and walk and act.
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You are commenting using your Facebook account. Notify me of new comments via email. Notify me of new posts via email. Create a free website or blog at WordPress. Home Extra Credit. Turkot's English I. Feeds: Posts Comments. Post your conclusion paragraph for your essay here. These four stores represent my style of dress, fashion, identity and appeal because of the displays of advertisement which influence someone like me to make a choice that fits me.
Advertisement has a lot to do with where I conclusion examples for asthma essays. The clothes, shoes, styles, and images influence me to select an appeal for which my identity stands out from the rest of the individuals in the world. For example when I am shopping and I see an advertisement of an outfit or some These distinct factors may be desired and appreciated or unwanted and harmful. The horrific exploitation of the innocent migrant children is revealed in Oranges and Sunshine.
They have been emotionally and psychologically shattered due to the deprivation, torment and rape as a result of their innocence and trust. A close up camera angle of Walter portrays the extent of the trauma and torture to which he was exposed and which still remains with him. The voiceovers of the men By the time it arrived at its destination, the cargo was empty and all the parts of the ship had been replaced.
Was it still the same ship? And if not, at what point did it stop being the same ship? We have been said to be a world role model and a model for multiculturalism, something many Canadians are worried about and bicker over. Canadians tend to worry too much about the little things, when there are better things to worry about like trying to find an identity. Canadians in the West feel alienated by the East and think that they are not cared about, that they do not have an equal opportunity with those in the East.
Those in the East think the Westerners are treated the same and that there is nothing for them to be upset about.
Conclusion for identity essay
Canadians as a whole do not see Canada the way the other countries do. The country of Canada lacks a true national identity, partly because of all of the different views of Canada. Because of many factors, Canada lacks a real national identity.
Canadians identify with community, region, but rarely a nation. Values, attitudes and cultures of different groups shape identity as they have emerged from our history and geography. Bilingual and multicultural polices which help people preserve their own cultures can also have an affect on Canadian identity.