The role of genetics in diabetes type 1 Research Paper

The role of genetics in diabetes type 1 - Research Paper Example These statistics indicate that the problem of diabetes is intensifying. At present, state law provides minimum coverage requirements for state-regulated health insurance policies that include treatment for diabetes. Federal law, however, does not offer an assured support for diabetes research and treatment (â€Å"Providing Diabetes†). Because of the expensive cost of treating diabetes type 1, state and federal programs must fund more medical research for diabetes treatment, in order to help children who are generally afflicted by this disease and to ensure that the high costs of treating diabetes type 1 will be lessened in the long run. Diabetes type 1 is more expensive to treat than diabetes type 2. Diabetes is â€Å"characterized by a condition where the body does not produce or properly use insulin† (â€Å"Providing Diabetes†). People need insulin to covert sugar, starches, and other foods into energy (â€Å"Providing Diabetes†). As a whole, the cost of treating diabetes reached $174 billion, including medical costs and reduced productivity (â€Å"Providing Diabetes†). Around $27 billion went to the treatment of diabetes, while $58 billion went to treat diabetes-related chronic complications (â€Å"Providing Diabetes†). $31 billion paid excess medical costs (â€Å"Providing Diabetes†). The National Changing Diabetes Program commissioned a study, which learned that the existing estimate should include the costs for undiagnosed diabetes, pre-diabetes and gestational diabetes, which will further increase the costs to $218 billion in 2007 (â€Å"Providing Diabetes†). These significant costs should be broken down further because treating diabetes type 1 is more expensive than diabetes type 2. Children and young people with diabetes type 1 have very low insulin secretion and so they become dependent on insulin shots (Loghmani 167). In â€Å"Bridling at Insulin’s Cost, States Push for Generics,† Saul interviewed people with diabetes and their

Too close for comfort :: essays research papers

Too close for comfort Yet the similarity between these two stories raises some interesting questions about how we read Carver. That he is adored as few late-century American writers are is not news -- as Bloom points out there's almost a cult of Carver. Readers treasure not only his taut, bleak, deeply moving short stories but the legend of his life, as well: unhappy, alcoholic, stifled by frustrating poverty and saddled with the overwhelming responsibilities of teenage parenthood ("[My wife and I] didn't have any youth" he told Simpson), Carver's singular talent didn't have room to develop until relatively late. His eventual triumph over adversity, a story of late, spectacular blooming against all odds, has given him a rare hold on his readers' affection. Carver chronicled the lives of the lumpen proletariat and the demoralized white working class with a sensitivity and eye for detail unmatched in his contemporaries and, many would argue, his followers. He is commonly thought of as a truly Amer ican writer, perhaps stylistically indebted to Sherwood Anderson, Stephen Crane and Ernest Hemingway (he himself suggested the link to Hemingway in his book "Fires"), but in a sense sui generis -- a talented, sensitive soul who rose up out of the deadening laundromats and strip malls of the great, dreary American suburban wastelands and wrote beautiful, sad stories in clipped, stripped prose. The minimalism and domestic realism of his short stories made his work read very differently from the cerebral literary styling of his contemporaries, the university-ensnared postmodernists. But perhaps Carver's work wasn't as unfettered or as American (in his literary influences, at least) as all that. It seems that he read (and taught) the European modernists very carefully. Bloom says that, "Carver was a very literary writer and his work is full of echoes of other writers, some of them unintentional. He's a derivative writer -- vastly overrated." Or, as Tobias Wolff wrote , admiringly, in the introduction to "The Best American Short Stories of 1994:" The picture of Gabriel Conroy [in James Joyce's' "The Dead"] watching his wife Gretta on the staircase above him as she listens to a tragic ballad ... has become for me ... the very emblem of that final distance which a lifetime of domestic partnership can never overcome. I wonder if there isn't an echo of this image in Raymond Carver's "Will You Please Be Quiet, Please?" when Ralph, returning from a walk on his honeymoon, sees his bride, Marian, "leaning motionless on her arms over the ironwork balustrade of their rented casita .

Article Review on Mental Illness

Jennifer Tozier Compentency Assignment 1, Review #2 Dr. Besthorn 09/15/2012 I chose to write my article review on the article entitled, â€Å"How clinical Diagnosis Might Exacerbate the Stigma of Mental Illness. † It is a not new concept that people are consistently drawn to a labeling others with a stigma, and this article delves into how we as social workers can (unintentionally) either encourage that stigma or hinder it based on the presentation to the client and to the public. A key point to the article talks about three kinds of potential ways stigma hurts a client.The first was being label avoidance. Many people do not want to admit to a mental illness, let alone get it treated because of how they might be perceived. Those that can admit having a mental illness and seek services may feel a certain stigma that then draws them back, and they avoid treating the problem, after they have confirmed that they, in fact, do suffer from the illness. They are afraid of being labele d in society or among their peers. The second stigma is blocked life goals. When suffering from a mental illness, everyday life can be and often is hard for the client.Without treatment, the stress of daily life can inhibit the client from seeking opportunities such as work, school, family and friends. Without these life goals being fulfilled, the mental illness takes control of the clients’ life and they are fixed from advancing in the everyday life. The third way a stigma hurts a client is the self-stigma. This is where the client begins to believe what is being said about them and their problem. It further exacerbates the problem because they not only deal with the issue of mental illness but feel judged in every encounter; this changes their behavior and creates a greater issue.This article also discusses the diagnosis of a mental illness in regards to â€Å"groupness† and the â€Å"differentness† aspects of how the public distinguishes people with mental is sues. This looks into the stereotypes and over generalizations and how it relates with mental illness and the general public. Mental illness while it may be more prevalent in some groups, it is an equal opportunity illness and can affect anyone regardless of age, race, financial status, or occupation. The article does an excellent job of describing how once a person is diagnosed with a mental llness it draws diversity in how they might be labeled and construed in society, similar to how they might be treated if they were a minority group. Research shows that this stigma â€Å"groups† individuals once they have been diagnosed with a mental illness, regardless if the client demonstrations any abnormal characteristics. The author did a terrific job of discussing the different stigmas that mental illness produces. It talked about how society or the majority labels a person with mental illness and the way a person can label themselves, both which produce disastrous results.I can s ee that this is a relevant article in the field of social work, because social workers can shape the way the client is perceived, both by the majority and the client all in the way they identify the illness. I understand that the article is talking about how the diagnosis can exacerbate the stigma, but I did not get a strong hold on ways to diagnosis it in an improved approach. The paragraph talking about diagnosis as a continuum seems like the closest point of reference for me, as an approach, but as it suggested this dimensional approach is not familiar to most clinicians.It seems once again there is only so far workers can go, with the limited knowledge we have obtained through research to date. The theory that I associated with the article is social learning theory. I came to that conclusion for several reasons mainly, because social learning theory suggests that human behavior is learned as individuals. The article talks about how people who have been diagnosed at times will no t seek treatment solely because of how they will be stigmatized.The problem behavior will not be treated and will remain a problem because a stigma will be placed on that individual if they admit the problem and get treatment. I think that using the social learning theory as a mode of treatment can be possible if the social worker can convince the client that if they get treatment and function in a â€Å"normal† way they will have a better quality of life. The article talked about how the social worker defines the mental illness and relays the information not only to the client, but also to other mental health providers is a determining factor on how it will be perceived.It is our ethical responsibility treat the client with dignity and respect, therefor when discussing the mental illness we need to be sure to use professional terms and be 100% correct before we unintentionally put a stigma on our client, they may put undue hardship in their life. When engaging with a client with mental illness it is necessary to discuss with them what they can expect, from meeting with the mental health provider all the way through treatment. Also to find out what they expect from the process.It is vital to let them know that they will have issues to deal with such as social stigma, but a road to treatment will give them a better quality of life. Mental illness affects people every day. Simply because of the stigma attached to it, people do not want to admit they have a problem. This is an implication because if more people could be honest and upfront social workers and policy makers could be given more time, resources, and attention to create policies that would benefit those struggling. The more resources and policies available the better chance that people suffering from mental illness will not have to deal with a stigma.

Loggerhead Sea Turtle Facts

The loggerhead sea turtle (Caretta caretta) is a marine sea turtle that gets its common name from its thick head, which resembles a log. Like other sea turtles, the loggerhead has a relatively lengthy life span—the species can live from 47 to 67 years in the wild. With the exception of the leatherback sea turtle, all sea turtles (including the loggerhead) belong to the family Chelondiidae. Loggerhead turtles sometimes breed and produce fertile hybrids with related species, such as the green sea turtle, hawksbill sea turtle, and Kemps ridley sea turtle. Fast Facts: Loggerhead Turtle Scientific Name: Caretta carettaDistinguishing Features: Large sea turtle with yellow skin, reddish shell, and thick headAverage Size: 95 cm (35 in) long, weighing 135 kg (298 lb)Diet: OmnivorousLife Span: 47 to 67 years in the wildHabitat: Temperate and tropical oceans worldwideConservation Status: VulnerableKingdom: AnimaliaPhylum: ChordataClass: ReptiliaOrder: TestudinesFamily: CheloniidaeFun Fact: The loggerhead turtle is the official state reptile of the state of South Carolina. Description The loggerhead sea turtle is the largest hard-shelled turtle in the world. The average adult is about 90 cm (35 in) long and weighs around 135 kg (298 lb). However, large specimens may reach 280 cm (110 in) and 450 kg (1000 lb). Hatchlings are brown or black, while adults have yellow or brown skin and reddish brown shells. Males and females look similar, but mature males have shorter plastrons (lower shells), longer claws, and thicker tails than females. Lachrymal glands behind each eye allow the turtle to excrete excess salt, giving the appearance of tears. Distribution Loggerhead turtles enjoy the largest distribution range of any sea turtle. They live in temperature and tropical seas, including the Mediterranean Sea and the Atlantic, Pacific, and Indian Oceans. Loggerheads live in coastal waters and the open sea. The females only come ashore to build nests and lay eggs. Loggerhead turtle distribution. NOAA Diet Loggerhead turtles are omnivorous, feeding on a variety of invertebrates, fish, algae, plants, and hatchling turtles (including those of its own species). Loggerheads use pointed scales on their forelimbs to manipulate and tear food, which the turtle crushes with powerful jaws. As with other reptiles, a turtles digestive rate increases as temperature rises. At low temperatures, loggerheads cant digest food. Predators Many animals prey upon loggerhead turtles. Adults are eaten by killer whales, seals, and large sharks. Nesting females are hunted by dogs and sometimes humans. Females are also susceptible to mosquitoes and flesh flies. Juveniles are eaten by moray eels, fish, and portunid crabs. Eggs and nestlings are prey to snakes, birds, mammals (including humans), lizards, insects, crabs, and worms. Over 30 animal species and 37 types of algae live on the backs of loggerhead turtles. These creatures improve the turtles camouflage, but they have no other benefit to the turtles. In fact, they increase drag, slowing the turtles swimming speed. Many other parasites and several infectious diseases affect loggerheads. Significant parasites include trematode and nematode worms. Behavior Loggerhead sea turtles are most active during the day. They spend up to 85% of the day underwater and can stay submerged for up to 4 hours before surfacing for air. They are territorial, typically conflicting over foraging grounds. Female-female aggression is common, both in the wild and in captivity. While the maximum temperature for the turtles is unknown, they become stunned and start floating when the temperature drops to about 10  Ã‚ °C. Reproduction Loggerhead turtles reach sexual maturity between 17 and 33 years of age. Courtship and mating occur in the open ocean along migration routes. Females return to the beach where they themselves hatched in order to lay eggs in the sand. A female lays, on average, about 112 eggs, usually distributed between four clutches. Females only lay eggs every two or three years. Upon hatching, loggerhead turtles make their way to the sea.  ©fitopardo.com / Getty Images The temperature of the nest determines the sex of the hatchlings. At 30  Ã‚ °C there is an equal ratio of male and females turtles. At higher temperatures, females are favored. At lower temperatures, males are favored. After about 80 days, hatchlings dig themselves out of the nest, usually at night, and head to the brighter surf. Once in the water, loggerhead turtles use magnetite in their brains and Earths magnetic field for navigation. Conservation Status The IUCN Red List classifies the loggerhead turtle as vulnerable. The size of the population is decreasing. Because of high mortality and slow reproductive rates, the outlook is not good for this species. Humans directly and indirectly threaten loggerheads and other sea turtles. Although worldwide legislation protects sea turtles, their meat and eggs are consumed where laws arent enforced. Many turtles die as bycatch or drown from entanglement in fishing lines and nets. Plastic poses a significant threat to loggerheads because the floating bags and sheets resemble jellyfish, a popular prey. Plastic can cause intestinal blockage, plus it releases toxic compounds that damage tissues, thin eggshells, or alter turtle behavior. Habitat destruction from human encroachment deprives turtles of nesting sites. Artificial lighting confuses hatchlings, interfering with their ability to find water. People who find hatchlings may be tempted to help them get to water, but this interference actually lowers their chance of survival, as it prevents them from building the strength needed to swim. Climate change is another cause for concern. Because temperature determines hatchling sex, rising temperatures may skew gender ratio in favor of females. In this respect, human development may aid turtles, as nests shaded by tall buildings are cooler and produce more males. Sources Casale, P. Tucker, A.D. (2017). Caretta caretta. The IUCN Red List of Threatened Species. IUCN. 2017: e.T3897A119333622. doi:10.2305/IUCN.UK.2017-2.RLTS.T3897A119333622.en 404 404 404 404 404Committee on Sea Turtle Conservation, National Research Council (1990). Decline of the Sea Turtles: Causes and Prevention. The National Academies Press. ISBN 0-309-04247-X.Dodd, Kenneth (May 1988). Synopsis of the Biological Data on the Loggerhead Sea Turtle (PDF). Biological Report. FAO Synopsis NMFS-149, United States Fish and Wildlife Service. 88 (14): 1–83.Caretta caretta (Linnaeus 1758)Janzen, Fredric J. (August 1994). Climate change and temperature-dependent sex determination in reptiles (PDF). Population Biology. 91 (16): 7487–7490.Spotila, James R. (2004). Sea Turtles: A Complete Guide to their Biology, Behavior, and Conservation. Baltimore, Maryland: The Johns Hopkins University Press and Oakwood Arts. ISBN 0-8018-8007-6.