Asian American History Essay Example | Topics and Well Written Essays - 1250 words

Asian American History - Essay Example The paper explores Southeast Asian migration to the US in the wake of the Southeast Asian crisis and their subsequent experiences in the alien land and how they coped up in a given situation. Early Migrations Takaki dates Asian migration back to 1835 when a sugar mill owner began his sugar business in Hawaii. Local workers were not efficient enough to carry on his sugar mill operations. When he replaced them with Chinese workers, he found them more efficient. Perhaps, that was the first time when Chinese or Asian workers got its due recognition so much so that during laying of transcontinental railroads in 1834, it was decided to employ Chinese workers. By 1867, there were more than twelve thousand Chinese workers employed at the Central Pacific Railroad Soon stories of Hawaii were reaching to other shores. Between 1903 and 1920, in their bid to escape from the clutches of Japanese, more than eight thousand Koreans migrated to the US. The migration to the U.S. from other Asian countr ies such as Korea, Philippines, and India continued unabated (Takaki 21, 53). The Global Cold War and Hot Wars of Southeast Asia The end of World War II marked a new beginning of Asian migrations in the US. The global cold war between the Soviet Union and the US intensified after the end of World War II and Asia became a battleground in a process to leave an imprint on many underdeveloped and poor Asian countries by the two diametrically opposite economic and political ideologies – namely the USSR and the US. Cambodia which was a French colony until 1953 had a major political upheaval thereafter. Chandler mentions the radical thinking of Pol Pot: â€Å"We all carry vestiges of our old class character, deep-rooted for generations† (44). He believed in destroying these things in order to achieve socialism. The fight between Lon Nol's Khmer Republic supported by the U.S. and the Khmer Rouge supported by communists from North Vietnam brought an extraordinary turmoil within the country. Communism was exported to Cambodia via Vietnam during the time when both were under French rule. The Civil war in 1970-75 took the toll of more than 500,000 people and displaced more than three million people from its place. Khmer Rouge's ideology had several facets. As Chan puts it, "Fearing pollution or contamination, they savagely went about eradicating all those whom they deemed impure" ("Cambodia’s Darkest Hour" 14). Khmer Rouge believed more in the concept of race overthrowing the concept of class. It was neither a peasant revolution nor a revolution meant for working class. That is why Khmer Rouge began evacuating Phnom Penh on the same day after capturing it. In a most pathetic incident, the patients from the largest civilian hospital from the Phnom Penh were evacuated first. In a few days, the city's entire population was asked to move on the plea that Americans might bomb. In a bizarre and well-thought out move, approximately 2.5 million people were as ked to leave their houses and places. Some of the Khmer leaders, such as Hou Yuon who opposed the evacuation, were removed from the scene. The citizens were completely baffled and wandering without shelter and food. Thousands of them died of illness, thirst, and starvation. The former military officers and government officials who were called to take specific instructions never returned.

The Global Significance of the Middle East Essay Example for Free

The Global Significance of the Middle East Essay Middle East, a term for an indefinite region centered on southwest Asia and extending into North Africa. According to the most widely accepted definition, the region includes Turkey, Cyprus, Syria, Iran, Iraq, Lebanon, Israel, Jordan, Egypt and all the countries of the Arabian Peninsula. According to other definitions, it includes various adjacent countries. The term originated in the early 20th century and came into popular use during the World War II. The older term Near East, now becoming obsolete, sometimes was also used to include the Balkan countries as well as the lands around the eastern end of the Mediterranean Sea. Much of the Middle East is desert or semidesert, and most of the people are clustered in oases or river valleys, where water makes the land productive. It was in these centers that some of the world’s earliest known civilizations flourished. From the Middle East, also, came three major religions—Judaism, Christianity, and Islam. Today, the people are predominantly Moslem (Islamic); about half use the Arabic language. The regions principal assets today lie in its rich oil fields, mainly in the Persian Gulf region, which have more than half of the world’s proven reserves. This wealth has placed new importance on Middle East’s position at the junction of three continents, where it controls vital links in the international transportation system. There has scarcely been any period in the history, however, when significant developments did not center on the Middle East. Middle East is a very rich country basically because of its oil reserves and other resources. But lately it has been a source of chaos and tragedy among the individuals living in it. Other countries are envious of what they have and therefore are doing things that could ruin the reputation and stand of Middle East. Some citizens also of Middle East, specifically the â€Å"armed groups† makes it hard for their own country to be more affluent and be well- developed because peace and order is one of the factors that has to be considered. Hence, the government itself within Middle East should take proper actions for the amelioration of their country and for their people as well. References: 1. â€Å"Middle East†. New Standard Encyclopedia. Volume 11. Pages 342-348. 2. Armajani, Yahya, and Thomas Ricks. The Middle East. Prentice Hall, 1986.

Their Common Enemy :: essays research papers

Their Common Enemy It is known that a number of students dislike school. School is a big topic of conversation in every student's life. Some students enjoy the work but most talk about how horrible it is. Take a random group of students; have an open discussion on school work and you will find that students will be agreeing with each other about how stressed they are. The students found a common enemy and it brought them closer because they could talk bad about school and agree with each other. Just like the students who bond when talking about schoolwork, Linda and Willy from Death of a Salesman by Arthur Miller, bond when they discuss money. "Well it makes 70 dollars and some pennies, That's very good (35)." Linda says this to Willy after she found out that his pay wasn't as expected. Whenever they talk about paying their mortgage they seem to compromise and have a healthy conversation. Usually when they talk about other important issues, they end up arguing because Willy has a short temper. "You shouldn't have criticized him, Willy, especially after he just got off the train. You mustn't lose your temper with him (15)." Willy has no shame because he will talk about anyone and not care. Talking about their mortgage helps them to stay together by agreeing with one another. Whenever the topic comes up, their moods totally change and even though they might not know it; they act as if paying their mortgage is their favorite thing to discuss. "WILLY: `Well, that's a great thing. To weather a twenty-five year mortgage is ------ .' LINDA: `It's and accomplishment.' (73). When they are almost done paying they are very happy and even Willy makes a comment; but he stops himself from expressing his true feelings. Why? Why does Willy prevent himself from being happy with the good things that he has in his life? He tries to live a life that doesn't exist and ends up agonizing. He should just enjoy what he already has and work with it. What ends up happening is that Willy becomes his own enemy so it's not about the mortgage or money anymore. He is the enemy and Linda, Biff and Happy are the one's that come together to help Willy be content. LINDA: `He's dying Biff.' BIFF: `Why is he dying?' LINDA: `He's been trying to kill himself.' (58)" Linda and Biff come together even more because of Willy trying to commit suicide. Willy is destroying himself because he is too much of a dreamer. Linda talks to Willy realistically and tries to break up his dreams.

Anaemia

Abstract Background: Anaemia is common worldwide specially in developing countries where nutrient deficiencies are prevalent. It is a common problem in the outpatient set but it’s always neglected and taken lightly which can cause hyperdynamic circulation disturbances and raise the rate of morbidity and mortality. Aim: To determine the prevalence of microcytic Hypochromic anaemia in medicine emergency room casualty in academy teaching hospital. Method: This is a descriptive cross-sectional study which was done in the Academy Teaching Hospital in which 75 of the emergency room patients participated in the study.The state of nutrition of the patients was evaluated by a questionnaire answered by the patients. Chapter One Introduction and Literature Review 1. 1 Introduction Anaemia Anaemia is defined as the reduction in the oxygen-transporting capacity of blood, which usually stems from a reduction of the total circulating red cell mass to below normal amounts. Blood haemoglobi n level is below 13. 5 g/dl in an adult male and below 11. 5 g/dl in an adult female. (1) Classification: Classified according to: 1. Causes: a. Inadequate production of RBC. b. Blood loss anaemia: * Acute: due to acute hemorrhage. * Chronic: due to GIT bleeding, menorrhagia. . Excessive destruction of RBC (haemolysis). 2. Morphology: a. Microcytic: * Iron deficiency. * Thalassemia. * Sideroblastic. b. Microcytic: * Folate deficiency. * B12 deficiency. c. Normocytic: * Aplastic anaemia. * Myelodysplastic anaemia. There are many undiagnosed cases of anaemia that if left undetected can lead to several complications, those include: (2) 1. Infections: people with the anaemia are more susceptible to getting infections from viruses and bacteria. 2. Severe bleeding: if bleeding is severe, internal and excessive then death can ensue if a blood transfusion is not given and the cause of the bleeding is not treated. . Stroke: if haemoglobin is defective, it can damage the walls of the red bloo d vessels and this can result in narrowing or even blockages in the brain, which can lead to serious, life threatening strokes. (2) Microcytic Hypochromic Anaemia Microcytic anemia is a blood disorder characterized by small red blood cells (erythrocytes) which have insufficient haemoglobin and hence have a reduced ability to carry oxygen through the body. The red blood cells are small due to a failure of haemoglobin synthesis or insufficient quantities of haemoglobin available. (3) Classification: 1. Iron deficiency anaemia . Sideroblastic anaemia. 3. Thalassemia. Iron deficiency anaemia It’s estimated to be the main cause of anaemia affecting about 10% of the population in developed countries and 25-50% in developing countries. The prevalence of iron deficiency anemia in the United States was 2 percent in adult men, but was found to be more common in child-bearing women age. (4) Total body iron content is about 2gm for females, and 6gm for males. Most of the iron within the body is found in hemoglobin within erythrocytes (80%), with the remainder being found in myoglobin and iron containing enzymes.Iron is stored in liver, spleen, bone marrow and skeletal muscle. This iron storage pool contains on average 15-20% of total body iron. (4) Iron is transported in the plasma by an iron binding protein called transferrin. In normal individuals, transferrin is about 33% saturated with iron. Dietary iron is obtained either from inorganic sources or animal sources. Dietary iron enters intestinal cells via specific transporters. The iron is then used by the cell, stored as ferritin or transferred to the plasma. (4) Erythropoiesis is the development process in which new erythrocytes are produced, through which each cell matures in about 7 days.Through this process erythrocytes are continuously produced in the red bone marrow of large bones, at a rate of about 2 million per second in a healthy adult. The blood's red color is due to the spectral properties of the he mic iron ions in hemoglobin. The red blood cells of an average adult human male store collectively about 2. 5 grams of iron, representing about 65% of the total iron contained in the body. (5)(6) Causes: * Poor intake. * Decreased absorption (celiac disease, gastrectomy). * Increased demand in growing adolescents and pregnancy. * Blood loss from GIT due to: * Hookworm infestation. Erosions associated with NSAID, peptic ulcer or neoplastic disease. * Hemorrhoids. * Blood loss from irregular or excessive menstruation. Symptoms and signs (7) Symptoms may include: * Fatigue. * Shortness of breath * Lightheadedness. * Palpitations. * Dizziness. * Chest pain. * Blurred vision. * Sleep disturbance. Signs may include: * Rapid heart rate. * Low blood pressure. * Rapid breathing. * Pale conjunctiva. * Cold skin. * Enlargement of the spleen. Diagnosis of iron deficiency anaemia: * Complete blood count and color: with iron deficiency anaemia red blood cells are smaller and paler in color than n ormal. Hematocrit: This is the percentage of blood volume made up by red blood cells. Normal levels are generally 41% for adult women and 47% for adult men. These values may change depending on your age. * Haemoglobin: Lower than normal hemoglobin levels indicate anemia (12-16 g/dl in an adult male and 13. 7-17. 5 g/dl in an adult female). * Ferritin: This protein helps store iron in your body, and a low level of ferritin usually indicates a low level of stored iron. Some tests might be done to detect the underlying cause, like: * Endoscopy: Often to check for bleeding from a hiatal hernia, an ulcer or the stomach. Colonoscopy: To rule out lower intestinal sources of bleeding. * Ultrasound: Women may also have a pelvic ultrasound to look for the cause of excess menstrual bleeding, such as uterine fibroids. (8)(9) Sideroblastic anaemia It is a disease in which the bone marrow produces ringed sideroblasts rather than healthy red blood cells (erythrocytes). [10] In Sideroblastic anemia , the body has iron available but cannot incorporate it into hemoglobin, which red blood cells need to transport oxygen efficiently.Sideroblasts are atypical, abnormal nucleated erythroblasts (precursors to mature red blood cells) with granules of iron accumulated in perinuclear mitochondria. [11] Sideroblasts are seen in aspirates of bone marrow. Causes: * Failure to completely form heme molecules, This leads to deposits of iron in the mitochondria that form a ring around the nucleus of the developing red blood cell. * Toxins: lead, copper or zinc poisoning * Drug-induced: ethanol, isoniazid, chloramphenicol, cycloserine, Oral Contraceptives * Nutritional: pyridoxine (Vitamin B6) or copper deficiency * Diseases: Rheumatoid arthritis, or multiple myeloma Genetic: ALA synthase deficiency (X-linked, associated with ALAS2)[12] Symptoms and signs: * Pale skin, eyelids and lips. * Fatigue and weakness. * Dizziness. * Enlarged liver and/or spleen. Diagnosis: Ringed sideroblasts are seen i n the bone marrow. Laboratory findings: * Increased ferritin levels * Normal total iron-binding capacity * Hematocrit of about 20-30% * Serum Iron: High * High transferrin saturation * The mean corpuscular volume or MCV is usually normal or low. * With lead poisoning, see coarse basophilic stippling of red blood cells on peripheral blood smear * Specific test: Prussian Blue stain of RBC in marrow.Shows ringed sideroblasts. * can also cause microcytic hypochromic anemia. (12) Thalassemia It is a group of inherited autosomal recessive blood disorders that originated in the Mediterranean region. In Thalassemia the genetic defect, which could be either mutation or deletion, results in reduced rate of synthesis, or no synthesis of one of the globins chains that make up hemoglobin. This can cause the formation of abnormal hemoglobin molecules, thus causing anemia, the characteristic presenting symptom of the Thalassemia. (13) Symptoms and signs: * Fatigue and weakness. * Shortness of brea th. * Pale appearance. Irritability. * Yellow discoloration of the skin. * Facial bone deformities. * Slow growth. * Abdominal swelling. * Dark urine. (14) Diagnosis: * Blood tests. * Prenatal screening. (14) Laboratory findings: * A low level of red blood cells * Smaller than expected red blood cells * Pale red blood cells * Red blood cells that are varied in size and shape * Red blood cells with uneven hemoglobin distribution, which gives the cells a bull's-eye appearance under the microscope. (14) 1. 2 Literature Review A study was done in Italy about prevalence and incidence and types of mild anaemia in the elderly.The objectives of this study were to estimate the prevalence and incidence of mild grade anemia and to assess the frequency of anemia types in the elderly. Design and Methods: This was a prospective, population-based study in all residents 65 years or older in Biella, Italy. Results: Blood test results were available for analysis from 8,744 elderly. Hemoglobin concent ration decreased and mild anemia increased steadily with increasing age. Mild anemia (defined as a hemoglobin concentration of 10. 0-11. 9 g/dL in women and 10. 0-12. 9 g/dL in men) affected 11. % of the elderly included in the analysis, while the estimated prevalence in the entire population was 11. 1%. Before hemoglobin determination, most mildly anemic individuals perceived themselves as non-anemic. Chronic disease anemia, Thalassemia trait, and renal insufficiency were the most frequent types of mild anemia. (15) A study was done in emergency ward, Mulago Hospital, Uganda. Anaemia is a common problem in Africa, with prevalence ranging from 21. 1% to 64. 4% 16-21 and a significant impact on morbidity and mortality. 22,23 in patients with AIDS low haemoglobin levels are associated with poor outcomes. 4-27 However, anaemia in Africa has multiple causes, with infectious diseases such as HIV, tuberculosis and malaria contributing significantly to the anaemia burden. 28 Hookworm is a major contributor to anaemia and even light hookworm loads are associated with low haemoglobin levels, 29-33 although Lewis et al. reported that hookworm was not a common cause of anaemia among medical patients in Malawi. In a cross-sectional descriptive study 395 patients were recruited by systematic random sampling and their socio-demographic characteristics and clinical details collected.A complete blood count and peripheral film examination were done and stool examined for hookworm ova.. Of the patients 255 (64. 6%) had anaemia. The prevalence was higher among males (65. 8%) than females (63. 7%). Fatigue (odds ratio (OR) 2. 1, confidence interval (CI) 1. 37 – 3. 24), dizziness (OR 1. 64, CI 1. 07 – 2. 44), previous blood transfusion (OR 2. 83, CI 1. 32 – 6. 06), lymphadenopathy (OR 2. 99, CI 1. 34 – 6. 66) and splenomegaly (OR 5. 22, CI 1. 78 – 15. 28) were significantly associated with anaemia. Splenomegaly, low body mass index (BMI) (

Letter To Kenya Airways Papa Nestor And Mama Marie

Congo believe you would not be being socially responsible in any sense, but would be complicit in any harm that would come to them. Papa Nester Will be 70 years of age in November 2011 and Mama Marie is 63 years old. Their immediate family here in the UK fear for their lives if they are returned to DRY. The Home Office Policy states that it is the decision of the carrier as to whether they carry people who are being forcibly removed. In view of this I urge you not to allow Papa Nester and Mama Marie to embark upon the flight QUOI on Kenya Airways todayMonday the 11th of April 201 1 at 20:00 hrs. Since 2003 Papa Nester and Mama Marie have been living in the UK and have a loving and sustained relationship with their son and their daughter, their respective families, their 10 grandchildren and one great grandchild born on 29/03/11 whom they may never see if returned to the DRY Congo. Having both fled the Democratic Republic of Congo (DRY) because of the persecution that Papa Nester suff ered due to his participation in political activities as an active member Of the Union for Democracy and Social Progress (SIDES) they sought and have been refused refuge here in the UK.Papa Nester has also participated in various Congolese Resistance groups in the K, such as Prepare (Alliance des Patriot's pour la Reformation du Conch), CRY (Congolese Resistance Council) with whom he has attended various demonstrations. If this information is known to the authorities then they fear for their life as there are often reprisals for such actions by the Government in the DRY.The fact that the DRY government could easily arrest and kill members of UDP, Prepare or CRY means that Papa Nester and Mama Marie face clear and present danger if they are returned to DRY. If this planned removal goes ahead then their family seriously doubt that they will ever be able to see their parents and grandparents again as their health is not good and it is thought that following the recent death in February of this year of their beloved son in the DRY and the stress of this removal they may both deteriorate rapidly.Since the untimely death of their son they have spent time in Slough with their daughter trying to recover from what is a difficult period in both their lives. To lose a parent is hard but for a parent to lose a child as a parent is often unbearable! Coupled with this is the fact that without the access they need to not only the support of their immediate family but also to the practical support they are offered by the health and care services here they will be unable to survive in the environment which currently exists within the DRY for older people.Having their parents sent to DRY is not something that their children want as both their son and daughter and their families are willing and ready to support them fully and take them into their homes and have them living with them without the need for recourse to public funds. We the undersigned now ask your company to act as a socially expansible organization and keep Papa Nester and Mama Marie safe in the UK within the loving bosom of her family.

Professional MBA Essay Writing Service

Professional MBA Essay Writing Service Medical school essays arent the only admissions papers on which you can get help through a professional editor. From MBA essays to nursing essays, professional proofreaders help student hopefuls will all sorts of admissions essays. If you are someone who is interested in hiring a professional editor to help with your essay, I encourage you to read on! The best place to find professional editors, in my opinion, is the Internet. With just one quick search via an Internet search engine, youll be amazed at how many options there are. Finding the editor who is right for you will depend on your personal writing style and, of course, the type of composition with which you need assistance. Searching online for an editor is much easier than trying to do it by foot or by phone. Most professional editing websites, for instance, post their client approval ratings as well as feedback and sample texts. Additionally, such websites have a clear breakdown of the services offered as well as the affiliated costs. The process of writing an MBA essay can be made much easier with the help of a professional editor. For more information about graduate school entrance essays and/or if you would like assistance in finding an editor/proofreader to help, please dont hesitate to access the adjacent link. Good luck!

buy custom The Medicare essay

buy custom The Medicare essay The US health care system continues to impose an additional burden of the taxpayers. Statistics have projected that, in the next ten years, this burden is likely to increase by seventy nine percent. This implies more than three quarters higher of its current sizes, thus exceeding five hundred billion dollars a year. Such an astronomical increase would certainly force the government to redirect funds from other crucial areas to cater for the mandatory Medicare. Twenty nine percent of the Medicare costs goes for inpatients medical costs. It is estimated that the cost will continue to increase with an annual projection growth rate of six percent. Most of these funds are spent for payment of medical expenses for a small number of patients with chronic conditions. These patients, who comprise mostly the elderly, tend to have multiple conditions such as diabetes and coronary diseases. Among the many challenges encountered in the health care system, are quality problems. According to Stone Goeffrey (2010) in their report to congress, one in every five patients discharged from US hospitals become readmitted within thirty days after being discharged. Most of the patient affected are those with multiple chronic diseases or conditions. This accounts for the increasing rates in usage of medicare funds among this group. The chronically ill patients also make up the highest percentage of te readmission cases. Stone Goeffrey (2010) further claim that most of the readmission cases can be prevented. This assumes that there is a higher readmission rate among the elderly inpatients after they are discharged from hospitals. This according to Stone Goeffrey (2010) is an indication of poor health care services and lack of proper coordination during the discharge process. Among the many factors that contribute to readmission of avoidable cases, include poor coordination in transition between the different care providers. This means that there is poor link between the hospital and the subsequent care providers after discharge. More appropriately, there is a lack of effective communication between the hospitals and community based care givers. Hospital readmission can affect the patients morale and prolong the recovery process (Ryan, Aloe, Mason-Johnson, 2009). In addition, readmission is a strain on the medical care providers as well as the hospitals. As such, it is a problem that needs to be researched and addressed. Problem Statement Most of the chronically ill patientsarereadmitted thirty days after being discharged. These readmissions can be avoided if hospitals improved their coordination with the community based care givers. Hypothesis Improved coordination between hospitals and community based care givers can drastically reduce readmission of the elderly chronically ill patients. Rationale for the research Many studies have shown that the health care system is burdened by unavoidable hospital readmissions. Available literature, indicates that one in every five patients discharged from hospitals get readmitted, within thirty days after being discharge (Struinin, Stone, Jack, 2007). Additionally, statistics indicate that the Medicare costs continue to increase exponentially, with a projection of over seventy percent gain within the next ten years. Such an increase already overburdened health care system and can impose serious quality issues if not checked and corrected. The research, therefore, is intended to develop alternative health care policies, which can adequately address the problem. Research Design The research will mainly address the problem of readmission among the elderly chronically ill patients. The admission data will, therefore, be required to determine whether individuals can be classified in this group. In addition, discharge data will be required to determine the coordination between the hospitals and community based care givers. Buy custom The Medicare essay