Tuesday, December 24, 2019

Essay on Search for Identity in Ralph Ellisons Invisible...

Between the Great Depression and mid-1940’s, many blacks struggled for acceptance and visibility in America. Oppressed by white society and overwhelmed by its control, they often endured countless betrayals and indignities simply for acknowledgment of their existence. In spite of suffering so much, however, many blacks lost more than they had hoped to gain, including their humanity and identity. Ralph Ellison, a prominent author fascinated by man’s search for identity, thought that blacks were invisible primarily because whites refused to see them. He believed that true identity could be revealed by experiencing certain endeavors and overcoming them (Parr and Savery 86). Ellison explores this theme in Invisible Man, which depicts the†¦show more content†¦Before he died, the narrator’s grandfather advised his family to use deception to overcome ’em with yeses, undermine ’em with grins, agree ’em to death and destruction†¦ (qtd. i n Schor 56). Dr. Bledsoe, the local college president, also misleads the protagonist, convincing him that pretense is necessary for achievement. The narrator thinks that if he meets society’s expectations–despite whether he supports them or whether he compromises his integrity–he will be rewarded with respect and acceptance (Parr and Savery 88). These false impressions, however, allow others to exploit him and take away parts of his identity. For example, the hero is asked to recite a speech to the town’s leading white citizens, but the crowd, really a group of drunk men, forces the narrator to participate in blind boxing matches and suffer several other humiliations. He endures them, though, hoping to win the audience’s approval even at the price of his dignity (Schor 58). According to Valerie Smith, the mere possibility of a reward justifies any insults†¦to which [the narrator] may be subjected (93). Simply to gain acceptance, he is losing a part of himself, and this eagerness to fit into society prohibits him from doing otherwise. The narrator’s loss of identity also stems from his inability to understand or accept his black heritage (Draper 674). He is ashamed of his Southern roots, and he often disparages his ethnicity and racial traditions. He even fails to acknowledge others whoShow MoreRelated The Search for Identity in Ralph Ellison’s Invisible Man Essay1107 Words   |  5 PagesThe Search for Identity in Ralph Ellison’s Invisible Man It is through the prologue and epilogue, that we understand the deeper meanings of Ralph Ellison’s Invisible Man. The prologue is essential, laying down a foundation that allows us to understand the meaning and reason behind the symbolism and relevance of events the that follow. The prologue allows us to understand the extent and level of intensity the novel is trying to achieve. Acting in the same way, the epilogue further illustratesRead More Invisible Man Essay: Searching for Black Identity in a White World1229 Words   |  5 PagesInvisible Man: Searching for Black Identity in a White World      Ã‚  Ã‚  Ã‚  Ã‚   Ralph Ellisons Invisible Man was published at a time when America was racially divided.   The novel presents the theme of the lack of black identity – a theme supported by the fact that the protagonist, Invisible Man, has no name.   The reader knows the names of Dr. Bledsoe, Ras-the-Exhorter, Brother Jack and others - but the reader does not know the name of the main character.   Ellisons leaves it to the reader to decide whoRead MoreJazz in Invisible Man1464 Words   |  6 Pagespeople each day. It is an art that has continued through decades and can be seen in many different ways. That is why Ellison chooses to illustrate his novel with jazz. Jazz music in Invisible Man gives feelings that Ellison could never explain in words. In Ralph Ellison’s Invisible Man, the narrator’s search for his identity can be compared to the structure of a jazz composition. In order to see the parallel between the novel and jazz, one must first see how Ellison incorporates jazz music in the prologueRead MoreCritical Analysis: Ralph Ellisons Invisible Man Essay1651 Words   |  7 PagesIn Ralph Ellison’s Invisible Man, we are presented with an unnamed narrator whose values and potentials are invisible to the world around him. Throughout the entirety of the novel, we see the unnamed narrator, also known as the Invisible Man, struggle in an attempt to uncover his identity buried beneath African American oppression and an aggregation of deception. Ellison shows us how lies and deceit may serve as a grave but invaluable obstacle to one’s journey to find their identity. Through theRead More Invisible Man Essay: Values of the Invisible Man1267 Words   |  6 PagesValues of the Invisible Man      Ã‚  Ã‚   Ralph Ellisons Invisible Man is the story of an educated black man who has been oppressed and controlled by white men throughout his life. As the narrator, he is nameless throughout the novel as he journeys from the South, where he studies at an all-black college, to Harlem where he joins a Communist-like party known as the Brotherhood. Throughout the novel, the narrator is on a search for his true identity. Several letters are given to him by outsiders thatRead More Use of Symbolism In Ralph Ellisons Invisible Man Essay766 Words   |  4 PagesRalph Ellison uses several symbols to emphasize the narrator’s attempt to escape from stereotypes and his theme of racial inequalities in his novel, Invisible Man. In particular, the symbolism of the cast-iron is one that haunts the narrator throughout the book. Ellison’s character discovers a small, cast-iron bank that implies the derogatory stereotypes of a black man in society at the time. From its â€Å"wide-mo uthed, red-lipped, and very black† features, to its suggestion of a black man entertainingRead MoreThemes and Styles of Ralph Ellison3336 Words   |  14 PagesEnglish IV 16 November 2005 The Themes and Styles of Ralph Ellison Ralph Ellison has proven himself through his novel The Invisible Man to be the leading black author of the twentieth century. Although he had written many short stories and essays collected in the book Shadow and Act, The Invisible Man is his only novel. With this one novel, Ellison earned himself the 1953 National Book Award and acclaim by the African American community for so accurately portraying the struggles a black AmericanRead More Racism and Identity in Ralph Ellison’s The Invisible Man Essay2209 Words   |  9 PagesIn Ralph Ellison’s novel The Invisible man, the unknown narrator states â€Å"All my life I had been looking for something and everywhere I turned someone tried to tell me what it was†¦I was looking for myself and asking everyone except myself the question which I, and only I, could answer†¦my expectations to achieve a realization everyone else appears to have been born with: That I am nobody but myself. But first I had to discover that I am an invisible man!† (13). throughout the novel, the search forRead MoreHamlet Invisible Man1412 Words   |  6 Pagessubdivisions implements the need to search for . In Shakespeare’s â€Å"Hamlet† and Ellison’s Invisible Man, the feminine character traits of the protagonists are alluded to as the cause of their failures, which supports the idea that the inward battle between masculinity and femininity exist as the characters journey closer to their identity. â€Å"It has been generally believed that males stand as opposed to females physically, intellectually, and emotionally. Man is supposed to be strong, courageousRead More The Distinguished Works of the Preeminent Black Author, Ralph Ellison2059 Words   |  9 PagesThe Distinguished Works of the Preeminent Black Author, Ralph Ellison Ralph Ellison is one of the most lauded yet misunderstood writers of the twentieth century. Ellison is considered a short-story writer and an essayist at heart, but his most distinguished work is the novel, Invisible Man. Ellison has been called everything from the greatest black American author (Brennan) to unnecessarily excessive in his writing style (Ralph Ellison: 1914-1994). For the most part, Ellison is held in

Monday, December 16, 2019

What is the purpose of the agency Free Essays

The purpose of the Arizona Medical Board is â€Å"to protect public safety through the judicious licensing, regulation and education of all allopathic physicians† (Arizona Medical Board, 2013). This means that the physicians in Arizona are monitored by the Medical Board for the sole purpose of protecting the public. What services does the agency perform? The Board is responsible for investigating patient complaints against physicians and when appropriate, taking disciplinary action against their licenses. We will write a custom essay sample on What is the purpose of the agency? or any similar topic only for you Order Now This means that if a patient has a complaint about a specific doctor or a medical facility, the Board will review the complaint and then investigate the situation. Appropriate discipline will be administered, ranging from practice restrictions to revocation of their licenses. How does the agency maintain the integrity of the profession? The agency maintains the integrity of allopathic physicians (MD) by making sure their practices are ethical and safe. They pay attention to any complaints that are made, and they investigate them to the best of their ability. They make sure that the physicians are not risking or causing harm to themselves, their patients, or their practices. If or when the Board gets wind of a problem with a physician or facility, they waste no time before they investigate. Whom does the agency support? The agency supports the public. Their main focus is making sure that the public has access to competent health care professionals that are capable of providing safe, effective services to their patients. Identify education, licensure, or certification requirements. Physicians who have graduated from an approved medical school are required to have one year of training in an approved hospital internship, residency or fellowship program. Physicians who have graduated from an unapproved medical school are required to have 3 years of training in an approved hospital internship, residency or fellowship program. Physicians are required to complete 40 credit hours of Continued Medical Education during the two calendar years preceding biennial renewal. To become bored certified, a physician must take and pass an oral and written examination given by the American Board of Medical Specialties in a particular field of expertise or specialty. The Arizona Medical Board does not automatically give a license to a physician just because they have a license in a different state. They are still required to become licensed in Arizona (Arizona Medical Board, 2013). How to cite What is the purpose of the agency?, Papers

Sunday, December 8, 2019

Community Health Nursing Medical

Question: Describe about the Community Health Nursing for Medical? Answer: TB Outbreak in Haiti Evidence-based research literature reveals the event of tuberculosis outbreak across Haiti under the influence of tubercular strain that resulted in the low level rpoB Mutation attributing to the multidrug resistant nature of this contagious condition (Ocheretina, et al., 2015). CDC statistics describe Haiti in terms of the highest burden of tuberculosis across the American subcontinent (CDC, 2012). The findings also state that 40% of the TB cases remain overlooked and undiagnosed in Haiti by the local authorities. The earthquake disaster in 2010 in Haiti disrupted its tuberculosis surveillance mechanism in entirety that resulted in the rapid progression of drug resistant tuberculosis across the international borders. TB Outbreak that Crossed International Borders Clinical studies by (Mitruka, et al., 2014) reveal the events of tuberculosis outbreak across the international borders facilitated by cross border traveling of the infected patients. For example, the tuberculosis outbreak across the Hispanic community in Southern Nevada Health District resulted due to inappropriate treatment of tuberculosis cases across the region. Infected patients from Nevada travelled to the region of Arizona that became the preliminary cause of the transmission of tubercle bacilli from Nevada to Arizona. Similar reasons attribute to the widespread international transmission of tuberculosis infection following its origin across Haiti. The TB pandemic occurred due to the poor sanitation, overcrowding, and international traveling of the TB patients, immigration, inappropriate utilization of antibiotics and nutritional inadequacies across the Haitian region (Denham, Eggenberger, Young, Krumwiede, 2015, p. 5). The predominance of the risk factors attributing to the broken roads, unclosed gutters, infected food and water sources influenced the transfer of tuberculosis infection from Haiti to the neighboring countries. Furthermore, lack of appropriate laboratory testing systems, healthcare facilities and medical interventions across international borders failed to cease the transmission of tuberculosis infection from Haiti to the international borders. Epidemiological Determinants of TB Outbreak The statistical findings by (Glaziou, Falzon, Floyd, Raviglione, 2013) reveal 8.7 million newly reported cases of tuberculosis attributing to its elevated epidemiological burden across the global societies. The clinical literature describes children as the significant source of tuberculosis progression across the community environment. Infants exposed to the source of tuberculosis infection remain predisposed to develop this disease at a risk of 50% among communities (Seddon Shingadia, 2014). Events of HIV pandemic facilitate the progression of Mycobacterium tuberculosis between individuals and the clinical manifestations further intensify under the influence of psychosocial determinants leading to the reported cases of mortalities of the infected individuals (Migliori Lange, 2012, pp. 14-16). The length and density of tuberculosis exposure and state of the immune system of the infected patients attribute to the intensification of tuberculosis patterns across the community environ ment. The epidemiological determinants of tuberculosis pandemic across Haiti attribute to the undetermined contacts between the tuberculosis patients due to lack of TB awareness among the local residents. Unchecked visits of tourists to Haiti resulted in the transmission of droplet infection to the healthy individuals that reciprocally added to the burden of the disease. Furthermore, international healthcare workers experienced a high risk of transmission of tubercle bacilli in the absence of acquiring protective measures for mitigating the clinical manifestations of tuberculosis infection. The direct exposure of the infants to the infected adults increased the pace of tuberculosis transmission across the community environment in Haiti. Routes of Disease Transmission The preliminary source of tuberculosis infections attributes to the infected patients carrying M. tuberculosis bacterium; however, Mycobacterium-avium progresses through soil and water resources leading to the epidemic outbreak across the community environment (Gangadharam Jenkins, 1998, pp. 179-180). The most common mode of M. tuberculosis infection attributes to the transfer of infectious bacterium through airborne droplets that travel between the individuals through coughing, shouting or sneezing. Infected droplets invade the alveoli of the exposed individuals and release tubercle bacilli leading to the onset of bacterial infection (CDC, Transmission and Pathogenesis of Tuberculosis, 2012). Risk Factors Attributing to TB Outbreak Environmental risk factors of tuberculosis progression attribute to the pattern of smoking, administration of injectable drugs and alcohol dependence. Furthermore, disease conditions including malignancies, silicosis, measles, renal disorders, gastrectomy-status, HIV, diabetes and corticosteroid interventions increase the risk of developing tuberculosis among the predisposed individuals (Schaaf Zumla, 2009). Influence of TB Outbreak at Community Level The progression of tuberculosis across community environment influences functionality of schools that become the centers of infection during the tenure of an epidemic. The school premises provides several opportunities for the spread of tubercle bacilli to a wide range of subjects including the children as well as the adolescent individuals, as evidenced by the clinical studies (Smallman-Raynor Cliff, 2012, p. 110). The tuberculosis outbreak adversely influences the functionality of local governmental agencies while increasing their economic burden in the context of extending social welfare programs for mitigating the adverse socioeconomic outcomes (Sharp, 2012, p. 38). The tuberculosis outbreak proves to be a potential epidemiological burden for the developing nations of the world and leads to their economic decline while affecting the business activities (Jamison, Breman, Measham, 2006). Hospitals across the community environment become the source of nosocomial infections followi ng the tuberculosis outbreak. Furthermore, the increased burden of tuberculosis leads to an acute shortage of medicines and healthcare interventions that reciprocally decrease the wellness patterns of the predisposed individuals until the progression of the outbreak. Reporting Protocol of TB Outbreak The reporting protocol for tuberculosis outbreak follows the appropriate investigation of TB transmission and corresponding mortalities across the community environment (Davies, Gordon, Davies, 2014, p. 66). The identification of high incidence rates of TB infection following the efficient retrieval of epidemiological information by executing routine surveillance studies and utilizing social networking tools gives an insight regarding the possible modes of TB transmission across the community environment. Adequate reporting of the outbreak statistics assists healthcare professionals in developing mitigating strategies for controlling the adverse epidemiological manifestations of tuberculosis. The protocol for reporting the tuberculosis cases to the local community attributes to the submission of detailed reports for the patients confirmed with TB infection while specifying their demographics, laboratory findings, and nationality and treatment interventions. Furthermore, the reporting of cases of latent TB infection requires execution within three days of determining progression of the disease. The laboratory findings attributing to tuberculosis culture require reporting the appropriate genotype of the infectious organism to the local communities in the context of devising appropriate therapeutic interventions for reducing the progression of tuberculosis across the region of the outbreak. Furthermore, reporting of patients occupation, ethnicity, chest X ray findings, HIV status, history of alcoholism and residential status require execution in the context of updating this relevant information to the local health communities. Discharge of any TB patient in the absence of co rrectional measures by the healthcare facility requires prompt reporting to the local community in the context of determining the predisposition of the healthy individuals toward developing tuberculosis manifestations. Events of non-adherence to prescribed medicines by the TB patients require prompt reporting to the local community for evaluating the burden of the disease across the community environment. Furthermore, the cessation of TB treatment or development of co-morbid states by the affected patients requires reporting to the local state agencies in the context of devising mitigating strategies for reducing the progression of disease across the community environment. Structured reports with the above-mentioned information require submission to the local communities for timely reporting the progression of TB outbreak and its deterministic factors to the local health authorities. Plan of Action Tuberculosis outbreak requires timely reporting to the healthcare authorities as well as the key stakeholders of the state health agencies in the context of challenging infectious manifestations across the community environment. The healthcare professionals need to retrieve the details of immigrants, patterns of transmission of tuberculosis across the hospital settings and the extent of infrastructure disintegration during the TB outbreak for reporting these findings to the stakeholders to facilitate the administration of appropriate healthcare interventions for the affected patients. Health professionals also need to evaluate the population groups at high risk of infection for their prompt reporting to the healthcare agencies for implementing effective quarantine measures in the context of reducing the progression of tuberculosis following the epidemic outbreak. Mitigating Strategies for Preventing the TB Outbreak The mitigating strategies for reducing the progression of tuberculosis across the community environment attribute to the organization of training sessions for patients in the context of increasing their patterns of compliance to the prescribed medication (Woo Robinson, 2015, p. 1251). Healthcare professionals need to facilitate the effective dissemination of significant information regarding pathophysiology of tuberculosis to increase their awareness regarding the prognostic outcomes (of tuberculosis) following its progression across the region of the outbreak. The effective collaboration of healthcare professionals with the communities highly required to facilitate the implementation of hygiene and healthy life style measures for reducing the probability of infection transmission following the onset of TB outbreak (World Health Organization, 2008). Governmental agencies require undertaking financial measures for enhancing the healthcare resources in practicing preventive approaches for encountering challenges posed by tuberculosis invasion across the communities. Healthcare policies and guidelines require configuration with the intent of enhancing the capacity of the healthcare system to efficiently measure and evaluate the progression of tuberculosis manifestations to undertake their evidence-based treatment across the community environment. The concepts of advocacy and communication require implementation for evidently displaying the epidemiological state of tuberculosis, the corresponding healthcare measures and their advantages with th e engagement of the common masses to facilitate the wellness outcomes. Effective communication requires utilization as an evidence-based tool for influencing the perceptions of communities in terms of enhancing their quality of life to reduce the scope of TB progression among the predisposed individuals. References CDC. (2012, September 14). CDC Home. Retrieved from CDC.Gov: https://www.cdc.gov/tb/topic/globaltb/haiti.htm CDC. (2012). Transmission and Pathogenesis of Tuberculosis. In CDC, Transmission and Pathogenesis of Tuberculosis (pp. 19-44). Retrieved from https://www.cdc.gov/tb/education/corecurr/pdf/chapter2.pdf Davies, P. D.-O., Gordon, S. B., Davies, G. (2014). Clinical Tuberculosis (5th ed.). Florida: CRC. Denham, S., Eggenberger, S., Young, P., Krumwiede, N. (2015). Family-Focused Nursing Care. Philadelphia: F. A. Davis. Gangadharam, P. R., Jenkins, P. A. (1998). Mycobacteria: I Basic Aspects. USA: Springer. Glaziou, P., Falzon, D., Floyd, K., Raviglione, M. (2013). Global epidemiology of tuberculosis. Seminars in Respiratory and Critical Care Medicine, 34(1), 3-16. doi:10.1055/s-0032-1333467 Jamison, D. T., Breman, J. G., Measham, A. R. (2006). Disease Control Priorities in Developing Countries. Washington, DC: The International Bank for Reconstruction and Development. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK11724/ Migliori, G. B., Lange, C. (2012). European Respiratory Monograph 58: Tuberculosis. UK: ERS. Mitruka, K., Blake, H., Ricks, P., Miramontes, R., Bamrah, S., Chee, C., Hickstein, L. (2014). A Tuberculosis Outbreak Fueled by Cross-Border Travel and Illicit Substances: Nevada and Arizona. Public Health Reports, 78-85. Ocheretina, O., Shen, L., Escuyer, V. E., Mabou, M. M., Royal-Mardi, G., Collins, S. E., . . . Fitzgerald, D. W. (2015). Whole Genome Sequencing Investigation of a Tuberculosis Outbreak in Port-au-Prince, Haiti Caused by a Strain with a "Low-Level" rpoB Mutation L511P - Insights into a Mechanism of Resistance Escalation. PLoS One, 10(6). doi:10.1371/journal.pone.0129207. eCollection 2015. Schaaf, H. S., Zumla, A. (2009). Tuberculosis: A Comprehensive Clinical Reference. USA: Saunders Elsevier. Retrieved from https://books.google.co.in/books?id=5wFM7Bu8FG0Cpg=PT1091dq=tuberculosis+risk+factorshl=ensa=Xved=0ahUKEwjAptWY4e_JAhWUA44KHRQqARAQ6AEIQTAI#v=onepageq=tuberculosis%20risk%20factorsf=false Seddon, J. A., Shingadia, D. (2014). Epidemiology and disease burden of tuberculosis in children: a global perspective. Infection and Drug Resistance, 153-165. doi:10.2147/IDR.S45090 Sharp, E. B. (2012). Does Local Government Matter?: How Urban Policies Shape Civic Engagement. Minnesota: University of Minnesota. Smallman-Raynor, M., Cliff, A. (2012). Atlas of Epidemic Britain: A Twentieth Century Picture. New York: Oxford. WHO. (2008). Community Involvement in Tuberculosis Care and Prevention: Towards Partnerships for Health: Guiding Principles and Recommendations Based on a WHO Review. Geneva: WHO. Woo, T. M., Robinson, M. V. (2015). Pharmacotherapeutics For Advanced Practice Nurse Prescribers (4th ed.). Philadelphia: F.A.Davis.