Parasagittal Meningioma Essay Example

Parasagittal Meningioma Paper Nursing Management 1 PARASAGITTAL MENINGIOMA Nursing management of a patient with Parasagittal Meningioma Nursing Management 2 Nursing management of patient with PARASAGITTAL MENINGIOMA P. A a 41 years old male was brought to the hospital due to the chief complaint of headache and dizziness. During the interview, the patient stated that 2 days prior to admission, he was having a severe headache associated with blurring of vision and dizziness. He took paracetamol which provided temporary relief without any consultation done. He was prompted to seek medical attention on March 23, 2011 due to persistent headache. He underwent MRI scan and revealed that the left part of his brain have a tumor that can lead him to be diagnosed with other signs and symptoms of having a Parasagittal Meningioma. According to Dienpenbrock (2004), Meningiomas are slow-growing and most often occur in middle aged adults. The standard treatment is surgery with the complete removal or partial dissection. Nursing management should focus on the treatment and preventing the effect of increased intracranial pressure or ICP by closed monitoring vital signs, and motor functions should also be checked because specific motor deficits may occur depending on the tumor’s location. Pathophysiology Parasagittal meningiomas form near the falx, a groove that runs along the brain fromfront to back, according to medical experts at the Brigham and Womens Hospital. Meningiomas may occur intracranially or within the spinal canal. They are thought to arise from arachnoidal cap cells, which reside in the arachnoid layer covering the surface of the brain. Meningiomas commonly are found at the surface of the brain, either over the convexity or at the skull base. In rare cases, meningiomas occur in an intraventricular or intraosseous location. The problem of classifying meningioma is that arachnoidal cells may express both mesenchymal and epithelial characteristics. Other mesodermal structures also may give rise to similar tumors (eg, hemangiopericytomas or sarcomas). The classification of all of these tumors together is controversial. Nursing Management 3 The current trend is to separate unequivocal meningiomas from other less well-defined neoplasms. Undoubtedly, advances in molecular biology will allow scientists to determine the exact genomic aberration responsible for each specific neoplasm. We will write a custom essay sample on Parasagittal Meningioma specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Parasagittal Meningioma specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Parasagittal Meningioma specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Parasagittal meningioma causes symptoms like: Headache that is due to the increase the normal pressure levels within the brain. The severity of headache pain can range from mild to severe and can localize within any region of the head. Leg weakness can also occur. Typically, a meningioma that forms on the left side of the falx causes right leg weakness, while a meningioma that forms on the right side of the falx causes left leg weakness, explain medical experts with the Merck Manual. In certain cases, sensations of weakness can affect both legs and can experience difficulty standing or walking normally. Vision Problems is also present because of increased pressure within the brain it can affect the optic or eye nerve. If the optic nerve is damaged or pinched, he or she can develop vision problems as a symptom of this condition, report health experts with the Mayfield Clinic. Affected people can experience blurred or cloudy vision, which may contribute to headache symptoms or sensations of dizziness. Cognitive dysfunction or Personality Changes may affect people as stated by professionals with the Brain Science Foundation. A person who is normally quiet or reserved can suddenly become talkative and outgoing. Alternatively, social people may appear abruptly withdrawn or depressed. Some of these are signs and symptoms manifested by P. A. that can lead him to be diagnosed to have Parasagittal meningioma. Nursing Management 4 History P. A. , a 41 years old male was complaining of headache and some episodes of dizziness. He was admitted and diagnosed to have Parasagital Meningioma. According to him, it was his third time to be hospitalized. He stated that he had no previous illness, surgeries and medication therapy. The patient does not have any history of any diseases such as hypertension, diabetes ellitus, heart disease and lung disease. He is having an allergy with fish and doesn’t have any allergies to drugs. He’s avoiding to eat pork because of his religion Islam. Nursing Physical Assessment P. A is conscious alert and coherent. The patient vital signs were as follows: body temperature 37. 5 degree Celsius, pulse rate 81bpm, blood pressure 120/70 mmHg, respiratory rate 17cp m. The client voice was soft and talks pretty slow. He appeared to be disabled. We asked the client about his feelings. He was quite emotional about his situation. He is having headache and also stated the he was experiencing pain at the level of 8. This was related from the surgery he had which can also cause him increase intracranial pressure. The patient had a visible curve on his left parietal head. And that was from the recent surgery he had. The patient is unable to move his right arm, probably due to the left affected part of the brain that would cause few or complex disability on his right hemisphere. The patient’s lower extremities particularly his legs are quite skinny and very weak. He was unable to walk and currently using a wheelchair and assistance from his siblings. He had some wound marks and also has several gunshot marks on his upper and lower right leg. He appeared to have some weakness. The patient did not have any intravenous line, and he is currently wearing eyeglasses due to his vision problems which were caused by his brain condition. He said that the pain was sustained for several days. Nursing Management 5 Related Treatments According to Mayfield clinic a parasagittal meningioma can increase the normal pressure levels within the brain. This pressure elevation can cause headache symptoms in people with this condition. Encourage the patient to verbalize his feelings. Monitoring of patient’s pain is very important together with adequate bed rest and proper drug compliance to relieve headache, drugs: (Celecoxib) TID. Another thing is that, a meningioma that forms on the left side of the falx causes right leg weakness, while a meningioma that forms on the right side of the falx causes left leg weakness, explain medical experts with the Merck Manual. For this reason safety is the priority for the patient, proper assistance, range of motion exercise, physical therapy, adequate nutrition and drug compliance, Rest between activities provides time for energy conservation and recovery. If the optic nerve is damaged or pinched, people with a parasagittal meningioma can develop vision problems as a symptom of this condition, report health experts with the Mayfield Clinic. For this reason, wearing eyeglasses will help to improve the patient’s visual problems related to his condition. Parasagittal meningiomas that develop near the front portion of the falx can lead to significant brain dysfunction in affected people, warn medical professionals with the Brain Science Foundation. People with this condition can experience unusual memory loss or can have difficulty with logical decision-making, drugs: (Nurocer. , Adjunct in the treatment of myoclonus of cortical origin; dementia ; other disorders/states w/c include alcoholism, vertigo, cerebrovascular accidents, behavioral disorders. Depakote, valproates 5-15 mg/kg/day), for this situation understanding the patient’s situation with proper drug compliance to treat these symptoms, and a nurse-patient relationship is also an important independent therapeutic approach for this. Must prioritized safety and closely monitoring the patient symptoms is a must to ensure that the patient is responding well to the treatments. Nursing Management 6 Nursing Care Plan Based on what Hickey (2003) have said, one of the complication that may be prevented is headache. So P. A’s nursing diagnosis is chronic pain related to brain trauma as evidenced by verbal reports, guarding behaviour and limited range of motion. Some of the assessment that suggests that the patient was having chronic pain was disorientation, increasing irritability and facial grimacing when palpitated. His vital signs were as follows: body temperature 37. 5 degree Celsius, pulse rate 81bpm, blood pressure 120/70 mmHg, respiratory rate. The goal is to relieve the pain from pain scale of 8 to 3 and to decrease the facial grimacing. The nursing interventions for P. A’s nursing diagnosis were as follows: First is to establish rapport to gain the patient’s trust. Next is to perform comprehensive assessment of pain (location, duration, onset, intensity). These assess the pain felt by the patient. Next is to assess vital signs, noting high blood pressure, rapid heartbeat and increase in body temperature. Physical signs and complaints associated with chronic pain should also be noted. Administer medications as ordered by the physician. Provide patient with health teaching such as: having a bed rest and encouraged to stay on non-stimulating environment to reduce or lessen the pain that triggers him. During the nursing interventions the patient is responsive and tried his very best to help him feel more comfortable. Nursing Management 7 Recommendations In order for P. A to continue his recovery and improve his state of well being, he must adhere to all the orders made by his physician. He must also learn how to provide opportunity to re-energize and refocus on tasks at hand because he was expected to have easy fatigability. Encourage the patient to ask questions regarding his concerns regarding his health to his care providers. References * Smeltzer, Bare, Hinkle, Cheever (2008). Medical Surgical. Brunner and Suddarth’s (Eleventh Edition). Pages 2302-2306. * Mayfield Clinic: Meningiomas * Brigham and Womens Hospital: Meningioma * Brain Science Foundation: Meningiomas * Merck Manual: Meningiomas * Meningiomas. org: Parasagittal Meningiomas

Why Should I Go Vegan A Report on The Benefits of A Plant Based Diet And The Drawbacks of Modern Farming Professor Ramos Blog

Why Should I Go Vegan A Report on The Benefits of A Plant Based Diet And The Drawbacks of Modern Farming https://1drv.ms/p/s!AoHc1z-_679AcDFi2Wd36eheb8k

Commiuncation in business- case study Essay Example | Topics and Well Written Essays - 2750 words

Commiuncation in business- case study - Essay Example The case study content will be highlighted first where the client is described in detail and key terms will be described in detail and these include motivation as well as culture. The overview of the situation will be discussed in detail and the last part will specifically focus on suggestions about recommendations as well as solutions about how a team leader might use these theories to motivate their employees. Terms of reference In my capacity as a human resources consultant, Google Inc has approached me to offer advice about how it can improve its operations with regards to motivation of its employees across cultures. Basically, Google Inc is a multinational public company that specialises computer services and internet search corporation based in California. According to its official website, Google operates one of the biggest internet search engines in the world and it develops a number of internet based services and products. The organisation operates more than one million seve rs in data centers around the world and it has more than 200Â  000 employees worldwide. Against this background, they have approached me to offer advice about how they can improve their operations across cultures given that they operate in different countries with diverse cultures in a bid to ensure that these employees are satisfied with their work. The organisation is primarily concerned with obtaining information about how the leaders can motivate their employees across cultures. The concept of motivation plays a very pivotal role in as far as viability of the organisation is concerned. Employees form the back bone of each organisation given that they are the ones who actually perform all the work. In this given case, the leaders of Google ought to know that there is every need to satisfy the needs of the employees for their own good with regards to growth of the organisation. Motivation in this case is not only limited to financial gains but it extends to include other psycholo gical benefits. These will help create a sense of belonging to the organisation whereby retention of key staff can be possible. In this regard, this client has consulted me with the main aim of ensuring that the company continues to grow since it is their aim. The organisation is also concerned with establishing the impact of culture on its operations. Operating in diverse cultural backgrounds is not an easy feat given that people from different countries have different values that determine the way they behave. These values ought to be taken into consideration the reason why Google has sought advice from an expert in this area. Different people have different values and these ought to be taken into consideration so as to ensure that the organisation achieves its goal of remaining a leading internet service provider globally. Culture also plays a pivotal role in an organisation as it is mainly concerned with establishing the expected standards of operation within the organisation. T he leaders of Google have also approached me to get information about leadership in the organisation as this

Profiling Essay Example | Topics and Well Written Essays - 500 words

Profiling - Essay Example What one says or does is sieved by the society through a very fine net of critical judgment, so as to analyze the flavor of racism, one-sidedness and religion in it. In such circumstances, people specially those who have close resemblance with the suspected group have to undergo immense emotional labor and have to adapt their actions and sayings as per the demand of the sensitive listeners and watchers. This does require an adjustment in the bandwidth of tolerance as (Varadarajan) has rightly depicted in his essay. People’s actions are shaped by their internal beliefs and are an outcome of their philosophies. They may or may not want to adjust their actions and reactions in accordance with the demand of the terrorism-phobic society. Emphasis on profiling is a result of spread of terrorism which has in turn, had many philosophical and spiritual impacts on the society as a whole. Thus, profiling in itself, becomes a fairly complex philosophical issue. Is profiling acceptable? If so, under what circumstances? No, profiling is not acceptable.

Autism Spectrum Disorders Essay Example | Topics and Well Written Essays - 250 words

Autism Spectrum Disorders - Essay Example This research will begin with the statement that Ð ¨n an ideal world, most families will have no stress no matter what situation gets in their way. However, most families with children with autism spectrum disorders become more stressed compared with families with typically developing children. Baron-Cohen and his colleague's article support that both parents of the children with ASD report significantly elevated stress levels compared to those with typically developing children. For one to understand the research content, it is significant to define the autism spectrum disorder. Autism spectrum disorder refers to a term that describes autism and four other disabilities affecting individual’s ability to communicate, socialize, and respond to individual’s environment. The spectrum usually gets diagnosed before age three. Autism is a spectrum disorder since children can have diverse characteristics or symptoms that affect them from mild to severe range. Some of the chara cteristics include the delay in social interaction and communication, repetitive body movements, obsessions over certain objects and having specific rituals and routines. ASD tends to affect mostly the males compared to females. Currently, it is reported in Autismspeaks.org (2010) that in every 110 children, one is diagnosed with ASD and every 70 boys there is one with ASD. Additionally, there are no known ASD cures. However, there are several treatments that lessen the severity of the autism. Usually, people tend to think about the children diagnosed with ASD, and no one tends to think about the impact that the diagnosis has on parents. Often, parents with children diagnosed with ASD go through an emotional experience. The parents go through the thoughts of thinking that their child is perfect to think that their child has an incurable disorder that may affect every aspect of the child’s life. Hence, parents should learn how to cope with the situation after the initial diagn osis.

Spiritual Coping Strategies (SCS) Scale Research

Spiritual Coping Strategies (SCS) Scale Research Background of the Study The study of religion and spirituality has been gaining much attention to researchers nowadays. Research studies on these two areas and their relationship to health are expanding rapidly. (Koenig Bà ¼ssing, 2010) The relationship of religion and health has been existing in all groups of population even in the past. (Koenig, King, Carson, 2012 as cited by Koenig, 2012) Koenig (2012) comprehensive systematic review of existing research about the relationship of religion and spirituality to health revealed positive influence of religion and spirituality to patients health and longevity, specifically to psychological, social and health behavior. Religion offers resources for coping with stress and increases the positive emotions rather than the likelihood of the negative effects of stress. On the part of the healthcare providers, religious beliefs found to be influential in making medical decisions. Furthermore, it may generate beliefs that conflict with medical care, induce spiritual struggles that create stress and impair health outcomes and it may interfere with disease detection and treatment compliance (Koenig, 2004). While Christian dominated countries in the west have been serious in this area, there is a much lesser studies that has been done in the Muslim – dominated Middle East countries that examines the relationship of these variables to health. (Koenig Alshohaib, 2014) This holds true in Saudi Arabia where Islam was born and is considered as one of the most religious place in the world. Little is known about religiosity and spirituality and their relationship to health as perceived by Saudi Muslims. (Al Zaben, et al., 2014) For the last three decades, there has been a marked rise in the prevalence of End Stage Renal Disease (ESRD) in Saudi Arabia. (Al-Sayyari Shaheen, 2011) Alsuwaida et. al (2010) reported in their study that the prevalence of ESRD in the young Saudi population is around 5.7%. Furthermore, a systematic review conducted by Hassanien, et. al (2012) reported yearly mortality rate in three different regions in Saudi Arabia. The data showed that between 2001 and 2003, there were no significant changes in the mortality rates of these regions. However, at present, the annual cases of ESRD in the country continue to grow. It was anticipated that the Saudi population will rise up to 3.5 folds over the next 20 years. Probably this will also cause a rise in new cases. In 2008, 2976 new patients were added to the hemodialysis program pool. This represents 29.2 % of the total 10,203 patient. (Al-Sayyari Shaheen, 2011) Patients undergoing dialysis experience serious challenges to their physical and mental health. These challenges are brought by stresses, fears, family problems, and physical discomforts. (Al Zaben, et al., 2014) In addition, the complexity of their treatment regimen as well as the unknown complications which are associated with such disease contributes to the suffering of these patients. (Lingerfelt Thornton, 2011; Barnett, Yoong, Pinikahana, Si-Yen, 2007). These patients also perceive uncertainty of life on dialysis because of the struggles and hard times that they experience in life as related to their mode of treatment. (Polascheck, 2003) Likewise, psychiatric disorders such as major depression, dementia and delirium are relatively high in these patients. Furthermore, coping problems are very common to these patients which if not addressed can lead to more serious problems such as higher mortality. (Kimmel et al. 1998; Drayer et al. 2006; Chilcot et al. 2011; Mapes et al. 2003; Al Zaben, 2014) The involvement of religion and other spiritual activities are widely used by patients to cope with physical and mental challenges that they face throughout the course of their disease. (Saad de Medeiros, 2012; Wachholtz Sambamoorthi, 2011; Amjad Bokharey, 2014) Patients from Saudi Arabia have shown similar use of these variables as ways of coping. Interventions with religious background are widely used which indicates the strong influence of religion to their lives most especially when they are in life-threatening situations such as in chronic illnesses. (Jazieh et al. 2012) Religious and spiritual coping are widely studied in relation with hemodialysis patients both in Christian and non – Christian patients. (Valcanti, Chaves, Mesquita, Nogueira Carvalho, 2012; Saffari, Pakpour, Naderi, Koenig, Baldacchino Piper, 2013; Spinale et al. 2008; Asayesh, Zamanian, Mirgheisari, 2013; Patel, Shah, Peterson Kimmel, 2002; Berman et al. 2004) Studies have reported that spiritual coping affects the over-all health of patients with ESRD. It also assists in the patients’ adaptation as well as in their health – related quality of life. (Patel, Shah, Peterson Kimmel, 2002; Valcanti, Chaves, Mesquita, Nogueira Carvalho, 2012; Ramirez et al. 2012) Thus, religiosity is potentially influential to the overall health of dialysis patients, including their commitment and compliance to dialysis treatment. (Pruchno, Lemay, Field Levinsky, 2006) In Saudi Arabia, researchers are beginning to focus on this area in Hemodialysis patients. Al-Jahdali et al. (2009) surveyed 100 HD patients at King Fahd National Guard Hospital in Riyadh and King Abdulaziz University Hospital in Jeddah about predictors of advanced care planning preferences. They reported that majority (70%) of the patients scored high in a single question religiosity scale. However, they found out that religiosity is not identified as a predictor of advanced care planning preferences. A more recent study was conducted by Al Zaben et al. (2014) to examine the relationships between religious involvement and the mental and physical health of HD patients in Jeddah region. They have found out that involvement in religious activities is associated with better overall psychological functioning, better social support, improved physical and mental functioning, better health behavior and better commitment to dialysis treatment. Because of the increasing interest of researchers in Saudi Arabia in this area, it is essential to have an instrument that can accurately measure the spiritual coping of patients. Majority of the available instruments in this area were structured for Christian patients. (Baldacchino Buhagiar, 2003; Koenig Bà ¼ssing, 2010; Hawthorne, Youngblut Brooten, 2011; Charzynska, 2012) To my knowledge, there is no available valid instrument that measures the spiritual coping strategies of Saudi Muslim HD patients. It is for this reason that this study was conducted. The aim of this study was to evaluate the validity and reliability of the Arabic version of the Spiritual Coping Strategies Scale (SCS) among Saudi HD patients. Methodology Design This is a cross-sectional study that evaluated the validity and reliability of the Saudi Muslim version of the Spiritual Coping Strategies Scale (SCS) among hemodialysis patients. Participants The participants of the study included _______ patients enrolled and undergoing hemodialysis in the HD unit of a general hospital located in Riyadh Province, Saudi Arabia. Convenience sampling technique was employed for sample identification. The study participants’ number was adequate for a factorial analysis. Inclusion criteria were: (1) being a Saudi, (2) self-identified Muslim, (3) being HD patient with CRF or ESRD, (4) enrolled in the HD unit of the general hospital, (5) 20 years old and above, (6) male and female, and (7) conscious, coherent and oriented. Measures Demographic Characteristics Patient’s information in the patient’s chart was examined to collect the data for their demographic characteristics. These included: (1) age, (2) gender, (3) religion, (4) civil status, (5) employment, and (6) duration of undergoing HD. Spiritual Coping Strategies Scale The Spiritual Coping Strategy Scale (SCS), developed by Baldacchino and Buhagiar (2003), is a self – administered questionnaire that determines the spiritual coping of the respondents. It has a Judeo-Christian orientation and was based on the nursing, psychological, sociological, philosophical and theological literature. The SCS scale was developed in English and then translated into the Maltese language. It is a scale that measures both religious and spiritual (nonreligious) coping strategy which constituted its two subscales. It measured the respondents’ attitude towards religion and belief in God. The SCS is a 20-item, 4 – point response scale from â€Å"never used† or 0 to â€Å"often used† or 3. The responses indicated how often they use the various coping strategies presented. The Religious Coping subscale was comprised of 9 items which were meant to assess the respondents’ attitude towards their religious practices and their relationsh ip to God. On the other hand, the Spiritual Coping subscale has 11 items which relates to coping strategies that involve relationship to self, others and nature. The scores of all items is ranging from 0 to 60. A higher subscale and total scale score indicated more frequent use of the religious or spiritual coping strategies. The internal consistency reliability of the religious and spiritual coping factors was 0.82 and 0.74, respectively. A test – retest reliability of r=0.47 and r=0.81 for the subscales and total scale, respectively, was also reported. (Baldacchino Buhagiar, 2003) The SCS was earlier translated to Italian (Burrai, Scalorbi, Sebastiani, Cenerelli Cocchi, 2009), Spanish (Hawthorne, Youngblut Brooten, 2011) and Farsi (Saffari, Koenig, Ghanizadeh, Pakpour Baldacchino, 2014) languages. Validity and reliability of these versions were established accordingly. Muslim Religiosity Scale This is a 13 – items scale that measures the religiosity of Muslim population. It has two subscales. The first subscale is a 10 – item religious practices scale while the second subscale is a 3 – items intrinsic religious beliefs scale. Validity and reliability of the scale was earlier established with a Cronbach’s alpha of 0.68, 0.64 and 0.93 for the full scale, religious practices scale and intrinsic beliefs scale, respectively. (Koenig, Al Zaben, Khalifa Al Shohaib, 2014; Al Zaben et al. 2014) The Arabic version of the scale was utilized in this study. Quality of Life Index Dialysis Version III The Ferrans and Powers Quality of Life Index Dialysis (QLI) Version-III measures the HRQoL of the HD patients. This scale has four subscales which includes health and functioning subscale, social and economic subscale, psychological/spiritual subscale, and family subscale. The QLI has two parts. The first part measures the satisfaction of the respondents and the second part measures the importance of the various aspects of life. The ratings in the second part are used to weight the satisfaction responses. Items that are rated with higher importance have a greater effect on scores than those of lesser importance. Overall quality of life as well as scores in the four domains is calculated. A score of 19 and lower means poorer quality of life. Validity and reliability of the QLI Dialysis Version was reported somewhere else with a Cronbach’s alpha of 0.93. Likewise, the four subscales exhibited acceptable validity and reliability. Content validity was good as it was based from ext ensive literature reviews on HRQoL and with patients’ report. (Ferrans, 1996; Ferrans Powers, 1985; Ferrans Powers, 1992) The Arabic version of the Quality of Life Index Dialysis (QLI) Version-III was used in this study. Translation and Cross Cultural Adaptation of the SCS The translation and cross – cultural adaptation of the SCS followed the cross-cultural adaptation of self-report measures guidelines for translation. (Beaton, Bombardier, Guillemin Ferraz, 2000) The guideline suggests five stages: (1) translation, (2) synthesis, (3) back translation, (4) expert committee review, and (5) pretesting. In this study, the cultural and religious context of Saudi Arabic language was considered in the translation process. The first step of the adaptation is the forward translation. Two independent forward translations were made from English to Arabic by two bilingual Saudi nationals. One of them is a nurse educator who specializes in mental health nursing. The other Saudi is a lecturer with specialization in English language. After the translations have been done, the two translators together with an observer met to synthesize the result of the translation. A consensus from the two translators signified the completion of the Saudi Arabic version of the SCS. The Arabic version was then presented to two non-medically inclined translators who translated it back to English. These two translators were unaware of the concept as well as the purpose of the scale. The Arabic version was then presented to a panel which comprised of a: (1) Muslim religious leader; (2) Islam scholar, (3) nurse clinician, (4) nurse researcher, and (5) translator. The committee decided for the cultural and religious equivalence of each items in the scale. After reaching a consensus, the pre-final Arabic version of the SCS was formed. The pre-final Arabic version was then subjected for pilot testing for validity and reliability. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ (Add modifications done here) Data Collection Data gathering was performed from May to June 2015. The SCS Arabic version, the Muslim Religiosity Scale Arabic version and the Ferrans and Powers Quality of Life Index Dialysis (QLI) Version-III Arabic version was distributed to the respondents by the researchers with the assistance of the nurses on duty. The nurses where properly informed about the purpose and procedure of the study. The respondents were given 20 to 25 minutes to respond to the scales. Three weeks after the initial data collection, the same questionnaires were redistributed to a subsample of 25 respondents. (Hawthorne, Youngblut Brooten, 2011) Ethical Consideration Ethical approval was granted by the Ethical Review Board of Shaqra University. Permission to conduct the study was sought from the administration of the general hospital. Modification and translation of the original version of the SCS to Arabic language was permitted by the original authors. The respondents were asked prior to participation to sign the informed consent signifying their understanding of their voluntary participation to the study. No incentives were offered to the respondents for their participation. Statistical Analysis All statistical analyses were done using the SPSS version 21.0. Internal consistency reliability of the Arabic version was assessed with coefficient alpha and item–total correlation (ITC). An alpha higher than 0.70 was considered acceptable internal consistency reliability while an ITC between 0.30 and 0.50 is considered moderate and ITC higher than 0.50 means good. Exploratory factor analysis was conducted to assess the factor structure of the SCS Arabic version. Kaiser – Meyer – Olkin (KMO) index was computed to check for sampling adequacy. KMO value equal to or higher than 0.6 indicate sampling adequacy. Further, to determine whether the correlations among variables were appropriate for the factor model, the Barlett’s test of sphericity was used. A Barlett’s test of sphericity with p The stability reliability for the test–retest subsample of the translated scale was assessed with Pearson product moment correlations. Convergent validity was established by examining the association between spiritual coping and religiosity. Divergent validity was established by the relationship between spiritual coping and health-related quality of life. Both were tested using Pearson product moment correlations. Differences between demographic profiles on the spiritual coping strategies using the SCS Arabic version were also examined using t-test and One-way ANOVA. A p-value less than 0.05 was considered significant.

Kids Killing Kids :: Argumentative Persuasive Violence Essays

Kids Killing Kids As you wind down from a long day at the office, you turn on the six o’clock news. The opening story lays out a gruesome attempt to murder, maim, and terrorize children in a city you have never before heard of. Instantly, you are thinking that this must be a review for a soon to be released blockbuster movie. In your mind, nothing like this would ever happen in our civilized world; however, headlines they are. You picture the perpetrators as horrid, evil-minded monsters. What kind of person could commit such a crime against innocent children? As you listen further, your eyes open wide, your heart skips a beat, and you gasp in shock as you discover that these evil-minded monsters you had just envisioned are nothing more than pimple-faced, hormone driven teenagers. Yes, teenagers. As you begin to really absorb the impact of such a crime, you realize that the teenagers that committed this crime are not much older than your own children. Suddenly, you have the uncontrolla ble urge to find your children and hide them from the world. You ask yourself, â€Å"What is wrong with society? What would cause a child to kill anther child? Where were their parents? How could this have happened?† Then, you try to convince yourself that this could never happen in your community. Although fictional, this story is one that is happening in homes all over our country. The real problem is that the crime described above is only one of many that are being committed by our youth. In fact, juvenile crime as a whole is increasing at an alarming rate. It seems that our youth is at war with itself. On a self destructive path that must be altered. How? This is the question at hand. The viewer above asked himself questions that need to be asked, but more importantly they need to be answered. The answers are not as simple as they may seem. The rise in juvenile crime has awakened a heated debate between the liberals and conservatives of our country about the causes, effects, and solutions of such a widespread problem. The liberals argue that this problem can only be fixed through government control; whereas, the conservatives believe the problem can only be fixed at home.