Search Engines

This week I looked up the topic LGBT on three different searching engines including Google Chrome, DuckDuckGo, and Yahoo. The search from Google was what I expected because that’s the search engine I usually use. When I typed in LGBT the search result also suggested lgbt center, lgbt community and the like. I just stuck with my original topic. The sites I found were not bad and went well for the assignment I was working on. The next site I went on was Yahoo and it was really refreshing too search there because there were no ads. There were however a lot less sites that had to do with the whole community and more to do with what lgbt meant. So it was a little harder to look for what I actually wanted. With that site I learned that I have to be more specific in my word choice. The last site I searched from was DuckDuckGo and I’ve heard of that search engine previously from another professor I’ve had back in my Community College. So I search from that engine and once again there are no ads what so ever just websites. There aren’t even the images that Google had which I thought was very interesting. The results did not only have what LGBT meant, the acronym I mean. There were actually some good quality sites.

I learned that Google pertains a lot of it’s searches to my liking. That should not be so because I need the diversity and the challenging ideas to my own. I need the different perspectives. They make me a better person. I want to see the different perspectives and ideas. Also the ads are a burden. I do not like them.

 

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LGBT Research: Phase One

This week, our class began our group studies into four different social concerns. I’m in the group researching LGBT rights. I began my search with a generic “LGBT rights” search. I found several links to various maps of both the U.S. and the world countries that note the different strides each state or country has made in regards to LGBT rights. There are also different blogs online through many different blogging sites such as Tumblr and Blogspot that provided not only information about the LGBT community but also advice for its readers.

While I found website after website containing information and links to news stories and posts about LGBT communities, I did find several websites that did not prove themselves to be credible sources for this research. Some websites exhibited in depth research into their posts and prided themselves in the fact that their information was well researched, organized, and professional. Other websites did not have a cohesive layout and allowed for some magazine-like posts to be mingled into their informational posts.

After my research this week, I learned that while the Internet is full of information that can be beneficial to my research, it is also laced with possible downfalls. It is important to not just click on the first three results of a search and go with those as your sources. One must always be on the lookout for the best possible information. All the information I found about LGBT rights showed that our country and many other countries in the world are not sitting idly by. Many nations are working towards a future that holds all opportunities at an equal level, and I believe that our combined efforts will create a better future for the coming generations.

ICU Delirium

Did you know that having an illness that requires a prolonged ICU stay, can lead to months of disability after discharge? As patients are grateful for overcoming a critical time in their lives, there is a high probability of having another difficult challenge ahead of them: not being able to function as they had been able to prior to their ICU stay. This may result from ICU delirium which affects 60% to 80% of patients that were on ventilators and 20% to 40% of patients that were not on ventilators (Brummel et al., 2014). In Nashville, Tennessee at St. Thomas Hospital, 126 ICU patients were studied between October 2003 and March 2006 and researchers found an association between the duration of ICU delirium and patients’ post ICU disability (Brummel et al., 2014). During the following year after discharge from the ICU, functional ability to perform activities of daily living (ADLs) were tested and the correlation of a longer period of ICU delirium and decreased ability to perform ADLs was found.

After watching three videos on ICU delirium and reading the article on this study, I agree with Dr. Brummel et al., that treatment of delirium is essential in attempt to prevent months of diminished motor function since performing one’s ADLs is of high importance to most individuals. This article also pointed out another interesting study that showed reduced delirium in ICU patients at risk of atrophy and weakness who received physical and occupational therapy (PT/OT) within the first couple of days while on a ventilator. It appears steps that need to be taken are assessment of ICU delirium, attempt to reduce the duration of ICU delirium, have PT/OT work with patients at risk in the ICU sooner rather than later, and continue to research ways to reduce disability post ICU discharge.

http://www.oapublishinglondon.com/images/html_figures/1301_572.jpg

 

References

Brummel N E Jackson J C Pandharipande P P Thompson J L Shintani A K Dittus R SGirard T D 2014 Delirium in the Intensive Care Unit subsequent long-term disability among survivors of mechanical ventilation.Brummel, N. E., Jackson, J. C., Pandharipande, P. P., Thompson, J. L., Shintani, A. K., Dittus, R. S.,…Girard, T. D. (2014). Delirium in the Intensive Care Unit subsequent long-term disability among survivors of mechanical ventilation. Crit Care Med, 42(2), 369-377. doi:10.1097/ccm.0b013e3182a645bd 201509211616561221419573

 

 

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Delirium

Week 4 Blog Post: Delirium (Janell Nunn)

Briefly summarize your findings. Do you agree with the article? Why or why not? What are the next steps needed? Share your “finds” from your own blog for this week.

 

This was a very short section of a larger article. It agreed with the article and videos we all read. Stating that the CAM ICU Delirium tool is extremely helpful in catching more cases of delirium. The article discussed adding this and other tools to help prevent long term effects of delirium and was concerned with having these tools added to hospital protocols, especially given the success of the trials (done in four stages at large hospitals in ICUs only).

I agree with the article, mostly due to the evidence presented in the other article we read and the videos. The next steps needed for this article are: getting the CAM ICU added into hospital protocols; putting interventions in place for those identified to have delirium based on these new protocols.

My “Finds” from the reading/videos: This is an issue of which I was entirely unaware. The testimony the patient gave on video was astounding and the quote he gave from his psychiatrist stating that it was as real to him as any Post Traumatic Stress Disorder (PTSD) sufferer from the military or police really made the issue come alive. This is what health care protocol is doing to survivors! It is made clear by the information given, that changes need to be made. Research for changes began back in the 1990s and is finally on its way into practice and needs to be taken seriously and swiftly added into daily best practice.

 

References:

Landro, L. (2011). Informed patient: changing sedation status quo in the ICU.  Health Blog, Wall Street Journal. Retrieved from http://blogs.wsj.com/health/2011/02/15/changing-the-sedation-status-quo-in-the-icu/

Nulles, S. (2008).  Improving goal-directed sedation practices and recognition of delirium in the MICU. Critical Care Nurse, 28(2), 11.

Capstone is underway!

First blog post. Here I will be documenting my journey through capstone research

Week 5 Check-In

Hi everyone.

You should all be actively working on Component 1 of Challenge #3: Collect. Please be sure to read the overview of each component in the Challenge 3 description here. In addition to your blog post this week, you are also contributing at least 5 links to relevant sources you collected this week. At least two of those five links must be blogs that have passed your crap test!

I (Michelle) will not be able to attend our session this Thursday, as I’ll be in the air flying back from a conference in Georgia. Jill and I will both be reading your blogs, listening to the VoiceThread comments, and checking your Google Docs prior to Thursday’s class.

We’re excited to see your progress.

best wishes,
Michelle & Jill

The Human Cost of the Vietnam War

While researching the school library’s archive of Bizz Johnson’s correspondences with his constituency, I was inspired to use this Archive Dive essay to shed some light on the human toll of the Vietnam War. I was galvanized unto this course after coming across two letters in particular – one from a Miss N. Harris, and the other from a man named John W. Shaw. Both of these communications were sent in the Fall of 1969 – the height of the Vietnam War, and plead for an end to the horrific conflict. In Harris’s case, a form letter from the “Individuals Against the Crime of Silence” group is used in an attempt to shame the political forces supporting the war. Not only does it declare the war’s blatant immorality, but also reminds the reader that those who committed “crimes against humanity” during World War II were justly punished for their crimes at the Nuremberg hearings (Harris). By contrast, Shaw’s letter was but a simple sentence printed via telegram. “Please please please stop the war”, it entreated desperately (Shaw).

This fear was well-founded, for the fate of those caught up in the violence was neither gentle, nor fairly distributed. For example, a study conducted with the top six United States universities – Brown, Columbia, Dartmouth, Harvard, Princeton, and Yale reflected that, compared to World Wars I and II, the rich and educated students used student exemptions to participate far less in the Vietnam war, leaving the lower classes to expend their lives in the name of the Capitalistic success they never achieved. Unlike the World Wars, Vietnam resonated more as a shameless fight between opposing political ideologies, and as a result, engendered less patriotic fervor among young, fighting-age men. In this war, recruits were bought less with national pride, and more through force of authority. Alec Campbell, who wrote on the study, posits that this fact fittingly calls back to a saying common among Confederate soldiers during the Civil War – “a rich man’s war and a poor man’s fight” (Campbell 743).

Those who did fight, and the wounds they suffered over the course of the war were grievous, and thanks to the power of the burgeoning media, shocking to the everyday citizenry back on American soil. The extent of the damage can perhaps best be explained by medical workers on both United States hospital ships and at Vietnamese Hospitals. Aboard the USS Repose, one nurse commented on the severity of injury and the associated mental strain that goes into treating them. According to her: “sometimes you have a patient who’s a triple amputee and is blind, frankly you want him to die because you know what he’s going back to.” (Weinraub). Staff at Danang Civil Hospital had similar testimony, recounting surgeries on shrapnel-blasted children and blood infusions performed with old, deteriorating blood supplies. Far from rare, these gruesome incidents made up the day-to-day cases of medical workers throughout the war, tarring Vietnam in an ever more bloody light.

Despite the Vietnam War’s eventual end, its legacy has caused a great number of deaths even up to modern times. Case in point, in 2011 the New York times published a story asserting that the leftover landmines and other unexploded ordnance that still plague over a fifth of Vietnam’s land have killed 42,132 Vietnamese people and maimed an additional 62,163 more since the end of official hostilities roughly forty years ago. (“Vietnam: More Than…”). Uncounted multitudes of these weapons lie undiscovered, ensuring that the ghost of the Vietnam war will linger violently for years to come.

It is said that a picture is worth a thousand words. If this is true, then I cannot think of a more fitting way to sum up my thoughts on the atrocity of Vietnam than with an image. Something that registers with most as more concrete than the duplicity of words.

casualty

Little is known regarding the photo above, only that it depicts one of Vietnam’s many war casualties. What strikes me the most is the state of the corpse – mangled in such a manner that its identity is nigh impossible to divine. Is it a man or a woman? An adult or a child? Vietnamese or American? Soldier or civilian? I think it describes war perfectly. It shows, with nothing held back, that in death we are all the same (Photograph VA045981). And what can we, fragile humans that we are do in the face of such a dark truth?

 

Campbell, Alec. “Elites and Death in Vietnam and Other U.S. Wars: A Research Note.” Armed Forces & Society 37.4 (2011): 743-52. Web.

Harris, N. Letter to the author. 21 November 1960. TS.

Photograph VA045981. Digital image. Vietnam Virtual Archive. James E. Bone
Collection, 6 July 2006. Web. 1 Sept. 2015.

Shaw, John. Letter to the author. 15 October 1969. TS.

“Vietnam: More Than 100,000 Casualties From Explosives Since War Ended.” The New York Times 6 Dec. 2011: n. pag.  Print.

Weinraub, Bernard. “Treating Vietnam War Casualties Is a Grueling Struggle.” The New York Times 27 Aug. 1967: n.  pag. Print.

Civil Rights Bill1964

The Civil Rights Bill of 1964 was a controversial topic all around the Unites States. A majority of Republicans were completely against the passing of this bill due to the major jumps the society was expecting people to adjust to. The letter I  selected was from a man who’s name is J. Arthur Peterson. Peterson states that he is opposed to the  Civil Rights Bill and suggests that Senator Biz Johnson also appose the bill.

To explain the bill that later turns into an act was created to fulfill the 14th amendments and create equal rights between “Negros” and the white americans. This banned all segregation between the two along with any form of racial discrimination in the employment and educational fields.

“We feel that this is the most vicious piece of legislation ever proposed.”

This statement by Peterson plays in many factors on what was going on society. There where various revolutions going on than there where able to keep count of. One of the major rolls that was to keep in play was the various revolutionary leaders and court cases such as Brown v.s. the Board of Education (1954) this created the “separate but equal law.” People were unable to accept the law due to its very major change. This ruling being considered a very major step in the african american civil rights movement got the ball moving leading up to the bill.

Still taken on behind the scenes was various uncivilized acts against African Americans. Police Brutality went on before this bill was passed, beatings on mothers who were with their kids in the middle of the street took place, even making eye contact was enough to create a violent crime on an african american.