Disability Discrimination Essay Example for Free

Disability Discrimination Essay Would you deem Karina disabled under the ADAAA? If so, what reasonable accommodations would you offer to her? Karina has a medical condition requiring her to take steroids and other medications. This condition led to Karina gaining weight and not able to wear two uniform items, the stockings and heels. These conditions affect her back, circulatory system, and endurance level. Additionally, according to her doctor, Karina must stop wearing the stockings and heels because of her condition. Based on this information, Karina does qualify as â€Å"disabled† even if she does not display symptoms that interfere with her ability to perform her duties. By taking medication, Karina is mitigating (reducing) the effects of her illness. However, her employer cannot consider this information in determining if she has a protected disability under the ADAAA. The ADA was passed nearly 20 years ago to provide legal protections for, and to end discrimination against, workers with disabilities. The ADA is a wide-ranging civil rights law that prohibits discrimination based on disability. It affords similar protections against discrimination to Americans with disabilities as the Civil Rights Act of 1964, which made discrimination based on race, religion, sex, national origin, and other characteristics illegal. Under the ADA, an individual is considered to have a disability if that individual either (1) has a physical or mental impairment which substantially limits one or more of that persons major life activities, (2) has a record of such an impairment, or (3) is regarded by the covered entity as having such an impairment. The determination of whether any particular condition is considered a disability is made on a case by case basis. When the ADA was first passed into law in 1990, federal courts were very strict in determining which employees met the ADAs definition of a disability, resulting in the dismissal of many cases. A series of such court decisions made it increasingly difficult to qualify for the laws protections. To remedy this problem, Congress recently passed the ADA Amendments Act of 2008 (ADAAA), which went into effect on January 1, 2009. The ADAAA made five changes to the ADA that are significant. 1.It provides that the definition of the ADA disability must both be more flexible and broadly construed. 2.It expands the list of major life activities. 3.It provides that courts can no longer consider whether mitigating measures, such as medication or assistive technology, reduce the impact of impairment on an individual. 4.It states that diseases that are episodic or in remission may still be disabilities. 5.It provides that employees who claims they are regarded as disabled can now make an ADA claim, even if the perceived disability does not impact a major life activity. It is important that employers be up to speed on these changes. This is especially important because the ADAAA created a shift of emphasis in applying the law. In enacting the ADAAA, Congress instructed that it should be interpreted to favor broad coverage of individuals under the ADA, and that courts must focus not on whether an employee is disabled, but on whether the employer is complying with its obligations under the law.

Portrayal of Women in the Movie (Film), Metropolis :: Movie Film Essays

Portrayal of Women in the Movie (Film), Metropolis Women were represented in different ways throughout the movie Metropolis, but the underlying theme was women were seen as purely sexual. Maria was seen as the nurturer in the film, but also as a sexual object. She was the one who preached for peace and harmony down in the catacombs to the workers. Maria was also the nurturing maternal figure that was seen walking into the garden with all of the poor children. The vamp, on the other hand, was portrayed blatantly as a sexual object. This whole movie was seen through the eyes of the male perspective, which usually portrays women as sexual objects, and robs them of any identity. Lang shows Frederson as having fear of femininity which involves women's emotion and nurturing. The robot was seen as a creation of technology and femininity and sexuality through the male imagination. This creation of the robot was to reflect the fear that men have of women and of technology. Women, machines, and nature raise fear in men because they threaten the male dominance and control. The female robot rose fear about threatening male control because of the idea that technology could become so large and advanced that it would go out of control of man and destroy humanity. Maria also posed as a threat to Frederson because of her emotions and nurturing. As seen in the movie, the scene where Rotwang leads Frederson down to the catacombs to watch Maria preach about peace is a direct depiction of the male fear of femininity. This fear comes from Frederson not having any control over this situation because he did not know about the catacombs, which scares him. Men need to control these women because of these insecurities about their own dominance. Throughout the entire movie there is an underlying theme of men always controlling women. The world of technology has always been seen as being all men while the women were standing on the outside looking in. For example, Rotwang creates this vamp to satisfy his own sexual desires, and to be able to control and dominate her every move. Woman has been constructed by man to serve her master, be completely dependent, and meet his needs. Lang invents his females as technological objects that come to life at the hands, and visions of their male masters. This is clearly seen when the robot, disguised as Maria, is put on the stake to burn.

A Young Lady With Feet Swelling Health And Social Care Essay

A 29-year-old Indonesian domestic assistant, Ms MH, was admitted to medical section, Queen Elizabeth Hospital, complaining of bilateral pess and mortise joints swelling and bubbling piss for 1 hebdomad. There was no hematuria, dysuria, urinary frequence, urgency, febrility, joint hurting, tegument roseolas, sore pharynx, recent upper respiratory piece of land symptoms or GI symptoms. She denied taking any herbs or nonprescription medicines. Her past medical history and household history were everyday. She was a non-smoker, and denied history of unprotected sex. She recalled that her first twenty-four hours of last catamenial period was approximately 2 hebdomads before the admittance. On scrutiny, she was afebrile, with bosom rate 103 beats per minute and blood force per unit area 144/71mmHg. She had periorbital hydrops, facial swelling and opposing hydrops of 4 limbs. There was no lividness. Her fundoscopic scrutiny was normal. Jugular venous force per unit area was elevated. On ausc ultation, her thorax was clear, her bosom beat was regular with a non-displaced cardiac vertex, and there was no bosom mutter. Abdominal scrutiny did non uncover any abdominal mass or bruit. She did non hold any skin roseolas or joint puffiness. Dipstick uranalysis showed 3+blood, 2+protein, and negative for glucose. Urine gestation trial was negative. Her blood trial showed normochromic, normocystic anemia ( haemoglobin degree 10.5g/dL ) and deranged nephritic map trial ( serum creatinine: 168i? ­mol/L ) . Her white cell count was 10.4 ten 10^9/L, the albumin degree was 24g/L and the liver map trial was normal. Her serum entire cholesterin degree was 5.2mmol/L, low denseness lipoprotein degree was 3.7mmol/L and fasting plasma glucose was 4.5mmol/L. The everyday microscopy of piss was positive for ruddy blood cell, ruddy cell dramatis personae, and was negative for white blood cell. The urine sum protein was 1.13g/day and the creatinine clearance was 10 mL/min. Mid-stream piss for civilization was negative. The clinical image was compatible with nephritic syndrome or quickly progressive glomerulonephritis ( RPGN ) , and anemia. Further probes showed that serum anti-nuclear antibodies ( ANA ) , antineutrophil cytoplasmatic antibodies ( ANCA ) , anti-streptolysin O ( ASO ) antibody, and anti-glomerular cellar membrane ( anti-GBM ) antibody titres were undetectable. Serum C3 and C4 complement degrees were normal. Hepatitis B surface antigen, anti-hepatitis C virus antibody, serum cryoglobulin and blood civilization were negative. Ultrasound scan of nephritic system revealed normal-sized kidneys with increased echogenicity, which was suggestive of nephritic parenchymal disease. Nephritic biopsy confirmed Immunoglobulin ( Ig ) A nephropathy. The reticulocyte count was normal, peripheral vilification showed mild poikilocytosis, and serum Fe profile was non implicative of Fe lack. Faecal supernatural blood trials were negative in all of the 3 stool specimens. Serum and urine paraprotein were n egative, and bone marrow scrutiny showed active marrow. Ms. MH was given low dose frusemide for diagnostic alleviation of peripheral hydrops, and was given angiotensin change overing enzyme inhibitor ( ACEI ) for control of blood force per unit area. She was assessed by nephrologist and was suggested to go on these medicines, and to mention to renal clinic for consideration of steroid therapy when serum creatinine is on increasing tendency or when albuminuria progresses to nephrotic scope. She tolerated the medicines and was on a regular basis followed up in the medical out-patient clinic. Discussion ** ( entire words for instance history and treatment must be 1000-2000 ) : Ms MH, a healthy 29-year-old lady, presented with 1 hebdomad history of dependent hydrops, high blood pressure, microscopic hematuria, and a low grade of albuminuria ( urine sum protein: 1.13g/day ) . Urine microscopy revealed white blood cell, ruddy blood cell and ruddy cell dramatis personae. This clinical image is compatible with glomerulonephritis, which can be loosely classified into renal-limited primary glomerulonephritis or secondary glomerulonephritis perplexing systemic disease. Further blood trial for serologic markers of glomerulonephritis, viz. ANA, ANCA, anti-GBM antibody, ASO titres, hepatitis serology, blood civilizations and cryoglobulin titres were undetectable, therefore excepting secondary glomerulonephritis. Nephritic biopsy remains the gilded criterion for unequivocal diagnosing of glomerulonephritis. The biopsy specimen can be examined under the light microscopy in order to find the primary histopathological hurt to the uriniferous tubule. Under light microscopy, immunofluorescence survey is able to place three major forms of deposition of Ig, viz. farinaceous, additive and dearth of immunofluorescence staining. Farinaceous deposition of Ig is a trademark of immune complex glomerulonephritis. Linear deposition of Ig along the glomerular cellar membrane is characteristic of anti-GBM disease. Dearth of Ig and positive circulating ANCA represent glomerulonephritis caused by ANCA-related vasculitis. ( 1 ) Ms MH was eventually diagnosed to hold IgA kidney disease, which is the commonest cause of primary glomerulonephritis throughout the universe. ( 2 ) Typical oncoming of the disease is in the 2nd and 3rd decennaries of life, as manifested by our instance. Majority of patients are diagnosed during an rating for symptomless microscopic hematuria or mild albuminurias. Macroscopic, and frequently perennial, hematuria that occurs shortly after an upper respiratory tract infection is a authoritative but less common presentation. Patient with IgA kidney disease may besides presented with nephrotic-range albuminurias, RPGN or, seldom, malignant high blood pressure. ( 3,4 ) As demonstrated by our instance, the complement degree is typically normal in IgA nephropathy. Light-microscopically, IgA nephropathy can change from mild mesangial proliferation and enlargement to spread proliferation with glomerular crescents. Immunofluorescence staining typically showed farinaceous deposition of Ig, decl arative mood of immune complex glomerulonephritis. ( 1 ) Ms MH was put on ACEI for blood force per unit area control. There are groundss that patterned advance of IgA kidney disease may be slowed by ACEI and angiotonin II receptor blockers ( ARB ) . ( 5,6 ) The drugs act by cut downing the intra-glomerular force per unit area and by straight bettering the size-selective belongingss of the glomerular capillary wall, lending to their anti-hypertensive and anti-proteinuric consequence. ( 1 ) In a randomized controlled test, 44 patients with biopsy-proven IgA kidney disease, proteinuria more than or equal to 0.5 gram/d, and serum creatinine less that or equal to 1.5 mg/dL ( 133 umol/L ) were indiscriminately assigned either to have Vasotec or to a control group in whom blood force per unit area was controlled with anti-hypertensives other than ACEI or ARB. At followup of about seven old ages, nephritic endurance, defined as lupus erythematosus that a 50 per centum addition in the serum creatinine concentration, was significantly more likely in the Vasotec group than in the control group: 92 % versus 55 % ( p & A ; lt ; 0.05 ) . There was a important lessening in albuminuria in the Vasotec group, whereas an addition in albuminuria was observed in the control group ( P & A ; lt ; 0.001 between groups ) . Control of blood force per unit area was similar in the two groups. In decision, ACEI significantly improves nephritic endurance in proteinuric IgA kidney disease with norm al or reasonably impaired nephritic map. ( 5 ) High blood pressure, albuminuria of more than 1 gram per twenty-four hours, impaired nephritic map at the clip of diagnosing, relentless microscopic hematuria, and high glomerular histopathological tonss stand out as consistent and strong forecasters of hapless nephritic endurance harmonizing to literatures and cohort surveies from around the universe. ( 3,7,8 ) Ms MH demonstrates the first three hapless predictive factors of the above list and therefore she is expected to be at hazard of holding progressive disease in following few old ages. IgA kidney disease is a global disease and the cause of end-stage nephritic failure in 15-20 per centum of patients within 10 old ages and in 30 to 40 per centum of persons within 20 old ages from evident oncoming of disease. Harmonizing to Cochrane Database of Systemic Reviews in the 3rd one-fourth of 2009, the optimum direction of IgA nephropathy remains unsure. Consequences from small-scaled randomised controlled tests favoured the usage of immunosuppressive intercessions, with the most promising agent being steroids, which were associated with a lower hazard of patterned advance to end-stage nephritic failure ( comparative hazard [ RR ] 0.44, 95 % assurance interval [ CI ] 0.25 to 0.8 ) and lower urinary protein elimination ( leaden mean difference [ WMD ] -0.49 g/day, 95 % CI -0.72 to -0.120 ) . Urinary protein elimination was lower for patients treated with alkylating agents or cyclosporin compared to placebo or no intervention. Further survey is necessary to determine which pa tients would profit from these intercessions. ( 9 ) Tables and figures ( non more than 2 ) : Reference ( non more than 10 ) : ** Brady HR, O'Meara YM, Brenner BM. Glomerular diseases. In: Kasper DL, Braunwald E, Fauci AS, et Al, explosive detection systems. Harrison ‘s rules of internal medical specialty, 16th edition. New York: McGraw-Hill, 2005:1674-94. Julian BA, Waldo FB, Rifai A, Mestecky J. IgA kidney disease, the most common glomerulonephritis worldwide. A ignored disease in the United States? Am J Med, 1988 ; 84:129-132. Donadio JV, Grande JP. IgA nephropathy. N Engl J Med 2002 ; 347:738-48. Li PKT, Lai KN. IgA nephropathy in Hong Kong. Journal of the Hong Kong Medial Association, 1989 ; 1:93-5. Praga M, Gutierrez E, Gonzalez E, Morales E. Treatment of IgA nephropathy with ACE inhibitors: A randomized and controlled test. J Am Soc Nephrol, 2003 ; 14:1578-83. Li PK, Leung CB, Chow KM, Cheng YL, Fung SK, Mak SK, Tang AW, Wong TY, Yung CY, Yung JC, Yu AW, Szeto CC ; HKVIN Study Group. Hong Kong survey utilizing Diovans in IgA nephropathy ( HKVIN ) : a double-blind, randomized, placebo-controlled survey. Am J Kidney Dis, 2006 ; 47:751-60. Li J, Zhang H, Zhou Y, Li G, Zou W, Wang H. Natural history of Ig A kidney disease and prognostic factors of forecast: a long-run follow up of 204 instances in China. Nephrology, 2008 ; 13:242-6. Chacko B, John GT, Neelakantan N, Korula A, Balakrishnan N, Kirubakaran MG, Jacob CK. Presentation, forecast and result of IgA kidney disease in Indian grownups. Nephrology, 2005 ; 10:496-503 Barkat R, Molony DA, Samuels JA. Immunosuppressive agents for handling IgA kidney disease. Cochrane Database of systematic Reviews. 3rd One-fourth, 2009No of words ( excepting mentions ) : ____1260 _____**The instance study will be REJECTED if the campaigners fail to adhere to the above format.DeclarationI do solemnly and unfeignedly declare that the instance study submitted represents my ain work. I have been in clinical contact with the instance selected. The instance study has non been submitted to any assessment board or publication and it is NOT related to my 2nd forte ( Internet Explorers ) , if any. My consent is herewith given to the College to maintain a transcript of my instance study, in written and/or electronic, at the College Secretariat and let the populace to hold free entree to the work for mention.______________________( Signed by _______________ )

The Definition and Purpose of Political Institutions

Political institutions are the organizations in a government which create, enforce, and apply laws. They often mediate conflict, make (governmental) policy on the economy and social systems, and otherwise provide representation for the population. In general, democratic political regimes are divided into two types: presidential (headed by a president) and parliamentary (headed by a parliament). Legislatures built to support the regimes are unicameral (only one house) or bicameral (two houses—for example, a senate and a house of representatives or a house of commons and a house of lords). Party systems can be two-party or multiparty, the parties can be strong or weak depending on their level of internal cohesion. The political institutions are those bodies—parties, legislatures, and heads of state—which make up the whole mechanism of modern governments. Parties, Trade Unions, and Courts In addition, political institutions include political party organizations, trade unions, and the (legal) courts. The term Political Institutions may also refer to the recognized structure of rules and principles within which the above organizations operate, including such concepts as the right to vote, a responsible government, and accountability. Political Institutions, in Brief Political institutions and systems have a direct impact on the business environment and activities of a country. For example, a political system that is straightforward and evolving when it comes to political participation of the people and laser-focused on the well-being of its citizens contributes to positive economic growth in its region. Every society must have a type of political system so it may allocate resources and ongoing procedures appropriately. Along with the same concept, a political institution sets the rules in which an orderly society obeys and ultimately decides and administers the laws for those that do not obey appropriately. Types of Political Systems The political system consists of both politics and government and involves the law, economy, culture and additional social concepts. The most popular political systems that we know of around the world can be reduced to a few simple core concepts. Many additional types of political systems are similar in idea or root, but most tend to surround concepts of: Democracy: A system of government by the whole population or all the eligible members of a state, typically through elected representatives.Republic: A state in which supreme power is held by the people and their elected representatives, and which has an elected or nominated president rather than a monarch.Monarchy:Â  A form of government in which one person reigns, typically a king or a queen. The authority, also known as a crown, is typically inherited.Communism:Â  A system of government in which the state plans and controls the economy. Often, an authoritarian party holds power and state controls are imposed.Dictatorship: A form of government where one person makes the main rules and decisions with absolute power, disregarding input from others. The Function of a Political System In 1960, Almond and Coleman gathered three core functions of a political system which include:Â   To maintain the integration of society by determining norms.To adapt and change elements of social, economic, and religious systems necessary for achieving collective (political) goals.To protect the integrity of the political system from outside threats. In modern day society in the United States, for example, the main function of the two core political parties is seen as a way to represent interest groups and constituents and to create policies while minimizing choices. Overall, the idea is to make legislative processes easier for people to understand and engage with. Political Stability and Veto Players Every government seeks stability, and, without institutions, a democratic political system simply cannot work. Systems need rules to be able to select political actors (the nomination process). The leaders must have fundamental skills about how the political institutions work and there must be rules about how authoritative decisions are made. The institutions constrain political actors by punishing deviations from institutionally prescribed behaviors and rewarding appropriate behavior. Institutions can resolve collection action dilemmas—for example, all governments have a collective interest in reducing carbon emissions, but for individual actors, making a choice for the greater good makes no good sense from an economic standpoint. So, it must be up to the federal government to establish enforceable sanctions. But the main purpose of a political institution is to create and maintain stability. That purpose is made viable by what American political scientist George Tsebelis calls veto players. Tsebelis argues that the number of veto players—people who must agree on a change before it can go forward—makes a significant difference in how easily changes are made. Significant departures from the status quo are impossible when there are too many veto players, with specific ideological distances among them. Agenda setters are those veto players who can say take it or leave it, but they must make proposals to the other veto players that will be acceptable to them. Sources Almond, Gabriel Abraham, and James Smoot Coleman, eds. The Politics of the Developing Areas. Princeton: Princeton University Press, 2016 (1960). Print.Armingeon, Klaus. Political Institutions. Handbook of Research Methods and Applications in Political Science. Eds. Keman, Hans and Jaap J. Woldendrop. Cheltenham, UK: Edward Elgar Publishing, 2016. 234–47. Print.Beck, Thorsten, et al. New Tools in Comparative Political Economy: The Database of Political Institutions. The World Bank Economic Review 15.1 (2001): 165–76. Print.Moe, Terry M. Political Institutions: The Neglected Side of the Story. Journal of Law, Economics, Organization 6 (1990): 213–53. Print.Tsebelis, George. Veto Players: How Political Institutions Work. Princeton, NJ: Princeton University Press, 2002. Print.Weingast, Barry R. The Economic Role of Political Institutions: Market-Preserving Federalism and Economic Development. Journal of Law, Economics, Organization 11.1 (1995): 1–31. Print.