Sunday, February 23, 2020
Community Health Nursing - Essay Example This paper provides you the most up-to-date information and also the basics of diabetes. This will effectively instruct patients and will help them to control their diabetes. For a successful maintenance and self-regulation of diabetes, the paper must address the important and current topics. Community: India, being the second highly populated country has more than 50 million people with type 2 diabetes. This kind of disease results from a genetic susceptibility and also from lifestyle to which mankind adapted to. For example, the western lifestyle and they are characterized by high calorie intake and little exercise. Some of Indians were brought to Mauritius in the year 1830 to work in the sugar plantations for physically demanding work. The Mauritian government was forced to promote industrialization and the export of manufactured goods due to decline in world sugar prices in 1980s, leads to increased prosperous and decreased physical activity among the local population. Ã¢â¬Å"So the death rate between 1982 and 1986 due to diabetes was increased three times and reached 13% by 1987 in the Mauritius Indian communityÃ¢â¬ (Diamond, 2011). Demographic and Epidemiological Data: International Diabetes Federation published Diabetes Atlas in the year 2006. According to that around 40.9 million people in India were diabetic and are likely expected to increase up to 69.9 million by the year 2025 unless urgent preventive steps are taken. The stage of this disease has changed from slight disorder of the elder persons to one of the major reason for the Ã¢â¬Å"illness and death among the young and middle aged peopleÃ¢â¬ (Policy Documents, 2006). The increase in commonness of the disease is seen in all six inhabited continents of the globe. In between 1972 and 1975 the first national study was done by the Indian Medical Research on the prevalence of type 2 diabetes in India. It was 2.1% in urban and 1.5% in rural population. In people above 40 yr of age it was 2.8% in rural and 5% in urban. In between the year 1989 and 1991 a National rural diabetes survey was done in different parts of the country in selected rural population. To diagnose diabetes this study uses the 1985 WHO criteria and reported a crude predominance of 2.8% In Andhra Pradesh, the Eluru survey showed a prevalence of 1.5 % when looked for familiar diabetes in four. A Prevalence of 8.2% in the urban and 2.4% in the rural was reported in the year 1988 in Chennai. Across India a study based on population was conducted in six metropolitan cities by the National Urban Diabetes Survey (NUDS).It also recruited 11,216 subjects aged 20 yr and above representative of all socio-economic strata. Age standardized prevalence of 8.6% in urban population showed in western India. Recent studies reported a prevalence of 9.3% in rural Maharashtra. In Ernakulum district located in Kerala, a community based cross-sectional survey was done in urban by The Amrita Diabetes and Endocrine Population Sur vey (ADEPS). The survey has revealed a very high prevalence of 19.5%. 15.5% of overall crude prevalence of diabetes was reported using WHO criteria 14 in CURES(age standardized: 14.3%) and 10.6% with IGT(age-standardized: 10.2%).In Chennai, the commonness of the disease was increased by 39.8 per cent (8.3 to 11.6%) in between the year 1989 to 1995 and in between the year 1995 to 2000 it was 16.3 per cent (11.6 to 13.5%) and between 2000 to 2004, it was 6.0 per
Friday, February 7, 2020
Anishinaabe Literature - Essay Example The Anishinaabeg people of the United States consist of the Nipissing/Algonquin, Ojibwa, Sauleteaux, Chippewa, Odawa, Mississaugas, Oji-Cree and Potawatomi. These communities have basically inhabited the Great Lakes region of Canada and the U.S. as noted above, the myths of the Anishinaabe are great facilitating the way forward in upholding an identity which is distinct. Notably, the Anishinaabe stories are not only sacred but also wide ranging. The way these stories are told is also funny and humorous- an element which is shared in all stories. A good example of these stories is the myth about the history of the Anishinaabeg (Pheasant 1). According to this myth, Gizhemanidoo, in the very beginning created the universe, including the creation of the Grandfather Sun, Grandmother Moon, Father Sky and Mother Earth. He is also believed to have created all the things on earth- both the living and the non-living. It is after he had created all that is on the surface of the earth, in the se as and in the sky that Gizhemanidoo created the four seasons. According to the Anishinaabeg, these seasons were geared towards bringing both balance and harmony to all. Besides, these people held these seasons to be one of the greatest mysteries to have ever existed (Cavender 8). The man was later created after all other creations. Gizhemanidoo appeared to the first Anishinaabe in a dream- where he (Gizhemanidoo) instructed the first Anishinaabe to give names to all other creature according to the language given to him. This story brings us to the knowledge that the first Anishinaabe gave names to all insects, animals, fish and bird. On completing the work, he made it known to the Gizhemanidoo that he had accomplished all that he was to do through a dream. It is after this that he was given the name Nanabozho (Sugarhead 6). Markedly, storytellinf among the Anishinaabeg remains to be a means through which members of the indigenous communities get to be taught and learn. In the manner in which these stories are being told, it is crystal clear that the cultural processes present in the society are being emphasized. The same stories are actually being used as cultural dimensions of the old to present the past, thus facilitating the viewing of life history as part and parcel of the principal contributory explanations of cultural processes instead of simply making illustrations or even augmenting ethnographic descriptions.