Respiratory Distress Syndrome Essay - 779 Words

Faculty of medicine Pediatrics Department Serum Prolactin Levels in Newborns with Respiratory Distress Syndrome Thesis Submitted for partial fulfillment of Master Degree in Pediatrics By Alia Saeed Abdel Maksoud Metwally M.B.B.CH Zagazig University Faculty of Medicine Zagazig University 2017 Introduction Respiratory distress syndrome in premature infants caused by pulmonary surfactant deficiency with incomplete lung development (Santosham et al, 2013). It can also occur as a consequence of neonatal infection (Sinha et al, 2012). According to the degree of prematurity, it occurs in 7% - 50% of neonates. It is also a common emergency responsible for 30% - 40% of newborns hospital admission (Edwards et†¦show more content†¦Up to our knowledge, this study has not been done before in Zagazig University Hospital. But previous studies have demonstrated that Prolactin has a role in lung maturation. We will compare this study with other studies. Research Question: Is prolactin decrease in cases of Respiratory distress syndrome ? Aim of the work: To compare fetal cord serum prolactin levels among healthy newborns and newborns with Respiratory distress syndrome. Objective: 1. To compare fetal cord serum prolactin levels among healthy newborns and newborns with Respiratory distress syndrome. 2. To find out the role of fetal prolactin in lung maturation. Hypothesis: There is a significant correlation between Prolactin levels and Respiratory distress syndrome. Keywords: Newborn, Fetal cord serum prolactin, Respiratory distress syndrome. Materials and Methods: 1-Technical Design: A. Setting: the study will be conducted in neonatal intensive care unit (NICU) at Zagazig University Hospitals. B. Type of study: Case control study. C. Subjects: Assuming that mean  ± SD of prolactin level in cord blood in Respiratory distress syndrome (RDS) newborns and in healthy newborns is (318.2  ± 130.5 vs 410.9  ± 110.5 respectively), so sample size is calculated by OpenEpi to be 54 cases (27 cases in each group) with confidence level 95% and power of test 80%. Group I (the study group): It will includeShow MoreRelatedRespiratory Distress Syndrome Essay1807 Words   |  8 PagesRespiratory distress syndrome (RDS), also known as hyaline membrane disease (HMD), is a disease that predominantly affects premature neonates. It is due to a deficiency in surfactant which is vital in increasing lung compliance, preventing atelectasis at the end of expiration, and promoting the recruitment of collapsed alveoli by reducing surface tension. Its other name, HMD, is derived from the characteristic histological findings in early post mortems of premature babies, hyaline membranes wereRead MoreEssay On Acute Respiratory Distress Syndrome766 Words   |  4 PagesFor the past 50 years acute respiratory distress syndrome or better known as ARDS, has been an issue in hospital intensive care units all around the world. The first â€Å"documented published scientific description dates back to 1821 when Laennec described the gross pathology of the heart and lungs and described idiopathic anasarca of the lungs; pulmonary edema without heart failure in a treatise on diseases of the chest.†1 Cardiac and non-cardiac issues were not taken into consideration as part of theRead MoreNeonatal Respiratory distress syndrome reflective practice Essay5076 Words   |  21 Pagesï » ¿This assignment describes my own reflective experience while caring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. 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Pathophysiology of COPD can be described as a complex syndrome of physical changes that comprisedRead MoreA Short Note On Alcohol, Tobacco, Marijuana, And Opioids1175 Words   |  5 PagesJulie Thao HSCD 300-01 Essay 1 February 7th, 2016 1. The four most commonly used substances as described from the course textbook are alcohol, tobacco, marijuana, and opioids. Alcohol is a translucent liquid in appearance and has a bitter acquired taste which suppresses brain activity. The intake of alcohol effects the cerebral cortex by ceasing the inhibition of user and develops a relaxed and more social characteristic in the way the user interacts with others. As a depressant, the use of alcoholRead MoreThe Case Presentation Of Rowena1998 Words   |  8 Pageswhich include Hypertension, Diabetes Mellitus (DM), Respiratory failure, and bone diseases (Fabbri, Luppi, Beghe, Rabe, 2008). 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Possession Of Emotional Intelligence As An Essential...

Possession of emotional intelligence is an essential component for every effective leader in whatever capacity. The ability for a leader to comprehend and manage his or her emotions and of the people close to them is critical in good leadership. As outlined by Kotter, good leadership needs â€Å"motivating and inspiring,† in other words, keeping individuals moving in the appropriate direction, in spite of significant obstacles to change, through appealing to elementary, but untapped human values, needs, and emotions (92). Not only does this define a good leader, but it also goes a long way in differentiating between a leader and a manager. When an individual blends different aspects of emotional intelligence with management skills, he or she†¦show more content†¦As per his view, he asserts that the significant ingredient that permits an organization to become successful and great is acquiring a level 5 leader. In other words, a level 5 leader is one who has the abilit y to take an organization from being only simply good to truly great. In a five-year investigation, Collins established that executives in possession of such a paradoxical set of traits represent catalysts for the statistically exceptional event of the transformation of a good organization into a really great one (67). To illustrate, Collins offers an example of Darwin Smith, a little heard of individual who turned around Kimberley-Clark (a heavy paper organization) whose stock worth had plummeted 36 percent behind the rest of the market the previous two decades. He created a dramatic transformation that caught the eyes of the globe (Collins 68). By discovering that the issue was not only financial, but also an emotional one, Darwin-Smith managed to remarkably turn around the company’s fortunes. In this case, Darwin-Smith is a level 5 leader. In essence, level five describes the uppermost level in a ladder of executive capabilities. The lower four levels include leaders who h ave the capability to produce high levels of success but not sufficient enough to elevate organizations from mediocrity to sustained levels of excellence. The four lower levels are: level 4 (effective leader), level 3

Ellis Island Immigration free essay sample

Family came, Haiti origin, along with 15 year old daughter for crises counseling and to file a petition. The daughter lived in United States since she was 5 years old. She also had siblings who are way older then she is, who were brought up back in Haiti. Parents complain that she is disobedient and they wanted to put her in jail. What they called disobedient is her refusing to take earrings off, because in their culture females are not allowed to use anything that might make them look attractive (at least thats what they say). Parents are culture orientated and very traditional people. I talked to girl alone for long time, she felt misunderstood on so many levels. Nothing was wrong with her psychologically, and there was no need for psychiatric evaluation at all. She seemed very smart young female, who is also a typical teenager and her parents had hard time dealing with that. We will write a custom essay sample on Ellis Island Immigration or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page She want it make up, go to movies, and her parents didnt like it. She skipped school from time to time, but nothing serious so there was no need to file petition for truancy. Both me, and psychologist I worked with had counseling with her parents. They kept telling us other children were never like this, so I tried to explain them that other children were raised in a different environment and off course they are going to act differently. I also told them I cannot file a petition because 15 year old has earrings on. It was a tough one, and we knew it would take time to change perspective of her parents. This is why Ellis Island immigration is so significant to me. Being labeled insane for something that is totally acceptable in own culture is pure injustice. Ellis Island is the place where everything started, and this occurs when people begun to be seen as the same but in fact, different. We all may have been equal, but have different values and beliefs and this has to be seen by everybody, especially professionals in such field. References Cohen, R. , Swerdlik, M. (2005). Psychological Testing and Assessment: An Introduction to Tests and Measurement (6th ed. ). , : The McGraw-Hill Companies. Ellis Island http://sydaby. eget. net/swe/ellis_island. htm Ellis Island www. history. com

President Barack Obama’s speech on the 50th anniversary of the March on Washington free essay sample

President Barack Obama’s speech on the 50th anniversary of the March on Washington President Barack Hussein Obama is the 44th and current President of the United States, and the first African American to hold this office. President Obama gave a speech following remarks at the â€Å"Let Freedom Ring† ceremony to commemorate the 50th anniversary of the March on Washington on August 28, 2013, at the Lincoln Memorial. President Obama gave this speech to remind Americas of how far we have come, to remember those who fought so people of different racial backgrounds can have the right to freedom. President Obama states, â€Å"And so they came by the thousands, from every corner of our country men and women, young and old, blacks who longed for freedom and whites who could no longer accept freedom for themselves while witnessing the subjugation of others† (25). President Obama’s speech at the 50th anniversary of the March on Washington was a reminder of the history of African-Americans in the United States and the change that came afterwards. We will write a custom essay sample on President Barack Obama’s speech on the 50th anniversary of the March on Washington or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page President Obama establish common ground with the audience at the 50th anniversary of the March on Washington by stating that â€Å"We rightly and best remember Dr. Kings soaring oratory that day, how he gave mighty voice to the quiet hopes of millions, how he offered a salvation path for oppressed and oppressors alike†(40). It was because of Dr. Martin Luther King and other brave people that march to Washington that the 50th anniversary of the March on Washington was begin held. President Obama speech was a success because he was able to relate to the audience. He quoted that, â€Å"Dr. King explained that the goals of African-Americans were identical to working people of all races: decent wages, fair working conditions, livable housing, old-age security, health and welfare measures conditions in which families can grow, have education for their children and respect in the community. What King was describing has been the dream of every American† (130). President Obama speech suits the audience with this statement,† The March on Washington teaches us that we are not trapped by the mistakes of history, that we are masters of our fate. But it also teaches us that the promise of this nation will only be kept when we work together. Well have to reignite the embers of empathy and fellow feeling, the coalition of conscience that found expression in this place 50 years ago† (200). President Obama speech shows compelling facts, â€Å"That was the spirit young people like John Lewis brought that day. That was the spirit that they carried with them like a torch back to their cities and their neighborhoods, that steady flame of conscience and courage that would sustain them through the campaigns to come, through boycotts and voter registration drives and smaller marches, far from the spotlight, through the loss of four little girls in Birmingham, the carnage of Edmund Pettus Bridge and the agony of Dallas, California, Memphis† (60-65). And† To dismiss the magnitude of this progress, to suggest, as some sometimes do, that little has changed that dishonors the courage and the sacrifice of those who paid the price to march in those years. Medgar Evers, James Chaney, Andrew Goodman, Michael Schwerner, Martin Luther King Jr. , they did not die in vain† (100). President Obama speech states data’s â€Å"Yes, there have been examples of success within black America that would have been unimaginable a half-century ago. But as has already been noted, black unemployment has remained almost twice as high as white employment (sic), Latino unemployment close behind. The gap in wealth between races has not lessened, its grown† (136-140). President Obama speech appealed to the audience emotions with this statement, â€Å"For what does it profit a man, Dr. King would ask, to sit at an integrated lunch counter if he cant afford the meal? This idea that ones liberty is linked to ones livelihood, that the pursuit of happiness requires the dignity of work, the skills to find work, decent pay, some measure of material security this idea was not new†(120). Also, â€Å"And I believe that spirit is there, that true force inside each of us. I see it when a white mother recognizes her own daughter in the face of a poor black child. I see it when the black youth thinks of his own grandfather in the dignified steps of an elderly white man† (205). President Obama also mentioned that, â€Å"We now have a choice. We can continue down our current path in which the gears of this great democracy grind to a halt and our children accept a life of lower expectations, where politics is a zero-sum game, where a few do very well while struggling families of every race fight over a shrinking economic pie. Thats one path. Or we can have the courage to change† (195). In conclusion, President Obama speech was persuasive, emotional and convincing. He was able to get through to the audience and pass his point across without offending anyone. The speech focuses the March to Washington and the freedom that came afterwards not just for African- Americans but also for women and Latinos, Asians and Native Americans, for Catholics, Jews and Muslims, for gays, for Americans with disabilities.