A Critique of the Research Article Essay Example for Free

A Critique of the Research Article Essay A Critique of the Research Article: Methadone/Buprenorphine and Better Maternal/ Perinatal Outcomes: A Meta-analysis Abstract The purpose of this research article is to discuss lower risk drugs such as Methadone and Buprenorphine given to Heroin addicted pregnant patients to create better neonatal and maternal outcomes. This research articles discusses the gold standard of treatment for better neonatal and maternal outcomes. Keywords: heroin, neonatal, maternal, outcomes, methadone, buprenorphine, gold standard treatment A Critique of the Research Article: Methadone/Buprenorphine and Better Maternal/ Perinatal Outcomes: A Meta-analysis Methadone is a synthetic opioid. It is used medically as an analgesic and a maintenance anti-addictive and reductive preparation for use by patients with opioid dependency. It was developed in Germany in 1937. Methadone was introduced into the United States in 1947 by Eli Lilly and Company. The principal effects of methadone maintenance are to relieve narcotic craving, suppress the abstinence syndrome, and block the euphoric effects associated with opiates. When used correctly, Methadone maintenance has been found to be medically safe and non-sedating. It is also indicated for pregnant women addicted to opiates. (doi:http//en. wikipedia. org/wiki/methadone) The theoretical study was not discussed in the articles but Roy’s Model identifies the elements considered essential to adaptation and describes how the elements interact to produce adaptation and thus health. Methadone helps the pregnant opioid dependent individual adapt to a lower risk drug and produces an overall healthier maternal and prenatal outcome. Middle Range Theory is less abstract and narrowed in the scope than conceptual models. These types of theories focus on answering particular practice questions and often specify such factors: patient’s health conditions, family situations and nursing actions. While researching this topic there were areas that were discussed, about patients being afraid to seek Methadone treatment and prenatal care because they were ashamed of how health care professionals would view them. It was also stated that patients in better overall health and less family related stress situations would more than likely be the ones to receive proper prenatal care and seek Methadone treatment. Opioid dependent pregnant patients and their fetus have more physical, mental and psychological issues. (Kaltenbach, Berghella, Finnegan, 1998). Opioid dependent pregnant patients are at an increased risk for preterm delivery and low birth weight. (Fajemiroku-Odudeyi et al. , 2005). To lower the health risks, pregnant women who are opiate dependent have been treated with methadone maintenance, the standard of care for several decades. (Jones et al. , 2005). Another treatment option became available when the U. S. Food and Drug Administration approved the use of buprenorphine maintenance therapy in 2002, which is another substitute for methadone. The research article â€Å"Opioid Dependency in Pregnancy and Length of Stay for Neonatal Abstinence Syndrome† examines 152 opioid-dependent pregnant women on methadone maintenance therapy (n=136 the participants that are using methadone) or buprenorphine maintenance therapy (n=16 the participants that are using buprenorphine) during pregnancy and their neonates. The neonates were born between January 1, 2005 and December 2007. The use of methadone in opioid dependent pregnant women lowers maternal morbidity and mortality rates and promotes fetal stability and growth compared to the use of heroin (Ludlow, Evans, Hulse, 2004). Continuous methadone treatment during pregnancy is associated with improved earlier antenatal care (Burns, Mattick, Lim Wallace, 2007), compliance with prenatal care and better preparation for infant care and parenting responsibilities (Dawe, Harnett, Rendalls, Staiger, 2003). Stabilization on methadone avoids the dangers of repeated intoxication and withdrawal cycles. Methadone has to be picked up by the patient at the treatment facilities. Attendance at these facilities allow pregnant patients opportunities to receive essential antenatal care and advice for a healthy pregnancy, which some of the patients otherwise may not receive. While conducting this research it was not clearly evident what was being researched until the conclusion of the results was determined. Based on the number of participants depended on the outcome of the better treatment. Therefore the results are not as accurate as could be if there were a larger amount of participants. There were no violations of patient rights with the methods used. The research article â€Å"Methadone in pregnancy: treatment retention and neonatal outcomes† examines three different groups of women: a group who entered continuous treatment at least one year prior to birth, a group who entered continuous treatment in the 6 months prior to birth, and a group whose last treatment program prior to birth ended at least one year prior to birth. Births that occurred after 1994 were selected for this analysis. Overall, 2 993 women were on the methadone program at delivery. The number of births rose steadily from 62 in 1992 to 459 in 2002. A particular strength of the large sample size was the ability to examine the effect of treatment retention on key neonatal outcomes. Among mothers on methadone at delivery, early commencement on methadone was associated with increased antenatal care and reduced prematurity. This is consistent with previous research that has shown that methadone in conjunction with adequate prenatal care promotes fetal stability and growth. Ethics approval for the project was granted by the NSW Department of Health Ethics Committee. All data was provided to the researchers’ only once full identification of records had taken place with password protected computers and firewall protection. This method was used to protect patient’s rights. Based on a large sample size, researchers were able to examine the effects of treatment retention on key neonatal outcomes. Although researchers had a large sample size based on certain ethical restrictions, limited the amount of information given to researchers, which waived the outcomes of individual’s results not being totally accurate. The research article â€Å"Methadone and perinatal outcomes: a prospective cohort study† examines A total of 117 pregnant women on methadone maintenance treatment recruited between July 2009 and July 2010. Measurements information on concomitant drug use was recorded with the Addiction Severity Index. Perinatal outcomes included pre-term birth (

Abortion - Can You Hear the Babies Screaming? :: abortion argumentative persuasive argument

Abortion - Can You Hear the Babies Screaming?      Ã‚  Ã‚  Ã‚  Ã‚   On January   22, 1973,   the United States Supreme Court legalized abortion. When the it ruled that abortion was legal, the court not only gave women the right to choose but also gave the unborn   babies   a right to die. Since that day, millions upon millions of unborn children have been ripped apart, burned with saline solutions, and sucked from their mothers' wombs. With every abortion that occurs another inaudible scream from the unborn child   is silenced and the rights of that child   are   taken away .      Ã‚  Ã‚  Ã‚  Ã‚   If someone where to be asked if murder was wrong, the general answer would be yes. When that same person is asked if abortion is murder,   the answer may be yes, but most likely   the answer is no. Why do most people think that murder is wrong, but do not agree that abortion is murder?   The reason for this contradiction is that   most people believe that the unborn infant is not a human, but an organ or part of the woman's body, which would make the act of aborting the child just the same as removing an appendix. This problem of when life begins stems from the inconsistencies which come from the case of Roe v. Wade. The Supreme Court interrupted   that by the ninth   and fourteenth amendments that a woman has the right to an abortion. The court that day, however, did not rule when a life begins for a human.   If society is to assume that a fetus is a human the second it   leaves the uterus, then what is the unborn baby three minutes from birth , a monkey. When an unborn baby is aborted, society must realize that an organ was not taken out, but a living human being.   This would make abortion wrong because according to law, no one has the right to take away anther's life.      Ã‚  Ã‚  Ã‚  Ã‚   With many   people considering   the cases of unwanted pregnancy due to rape or incest to be acceptable, they must   realize that the child is not the crime.   Society's reason behind this is, why should the woman suffer from the pain and remembrance that the pregnancy brings.   Even though cases of abortion

90s Fashion Trends: ‘Less Is More’

As we reflect on fashion history, there is not always a distinctive shift from one decade to the next. When transitioning from the 80s to the 90s, this was not the case, as there was an evident changeover from conspicuous consumer to ‘less is more. ’ When hearing this phrase and applying it to fashion, I think it can be viewed in two ways. The more literal interpretation can be restated as it is preferred to have either a more minimalistic and simple outfit, or that it is en vogue to wear skimpier clothing.Both of these descriptions can be seen in 90s fashion. Minimalism was a widely accepted trend of the 90s, as shoulder pads and off-the-shoulder sweaters became outdated and were replaced with cleaner lines and sleeker silhouettes. The excessive glamour of the 80s faded away, and jewelry became either non-existent or chic in its fineness and barely there quality. The only attribution to 1980s excess glamour was the bedazzling and embellishments to clothing or iridescent glitter shimmer on sheer and tulle fabrics and added to skin make up and hair spray.Designers such as Helmut Lang popularized this minimalistic trend by incorporating Japanese avant-garde aesthetics. Lang’s designs conveyed his view on how modern men and women want to dress. His clothes were without affectation and embodied an understanding that perfect cut, comfort, and ease of movement constitutes great fashion luxuries. Common examples of his key pieces slim mannish-shaped trousers for women, and sharply cut suiting that has a more androgynous shape. The minimalistic trend of the 90s was evident from head to toe and was even embraced by celebrities of the decade.Pop stars that had once worn frilly miniskirts adorned with suspenders, full faces of makeup and plentiful accessories were now embracing new, more simplistic styles. Calvin Klein’s infamous ‘Clueless’ mini dress, worn by Alicia Silverstone in the legendary film is a perfect example of the slin ky, body-con trend that became ubiquitous in the 90s. Hairstyles also reflected a ‘less is more’ vibe, and women styled their hair in a sleek manner like Jennifer Aniston, or short and funkier no-fuss style as channeled by Meg Ryan.I also think that ‘less is more’ can be applied to 90s fashion with respect to an attitude Americans felt at the time. During this 90s, people wanted easy clothing that was matched to their everyday lives and reflected an increasingly aggressive urban society. Business rules for dressing relaxed, and many people lost interest in fashion as necessary. This was a major change from 80s fashion where it what commonplace for yuppies to broadcast their wealth in expensive clothing. â€Å"1990's Fashion History – The Mood of the Millennium. † Fashion Era. N. p. , n. d. Web. 25 Apr 2011. . Sharma, Tanya. â€Å"1990's Women's Fashion . † love to know. N. p. , n. d. Web. 25 Apr 2011. . â€Å"clueless mini dress. † google. com. Web. 25 Apr 2011. . â€Å"The '90s Minimalist . † MSN Lifestyle. Web. 25 Apr 2011. .

Nuclear Energy as a Power Source - 1029 Words

Nuclear energy as a Power Source Name: Syahmi Shamsul Class: English 1-2 Submission Date: 28 February 2013 Table of Contents 1. Introduction This report aims to explore the views of those who support nuclear energy as a source of electricity and those who oppose it. It will also analyze the issue of using nuclear energy as a power source, why this issue is so significant as well as the people involved in this issue. 2. The issue Due to the rising cost and at the same time, the declining availability of fossil fuel, many countries seek cheap, alternative ways to produce electricity for their people. As nuclear energy is cheap because of the large amount of uranium reserve on Earth and that it is also able†¦show more content†¦Such a possibility that can cause this to happen includes a nuclear accident like Fukushima accident in 2011 or unintended leakage where human population becomes overexposed to radiation. As a result, mutations can occur to victims and may permanently damage the gene structure which could result future generation to have abnormalities (Effects of Nuclear Radiation, 2011). 1.2.2 Waste from fission is radioactive Radioactive wastes from nuclear plants are a major concern for those who are against nuclear energy as the waste can last for over a thousand years until the radiation is gone (Australian Government Parliamentary Departments, 2010). Nuclear waste mainly includes water pollutant from the cooling system of nuclear plants. Water is essential for nuclear reactors to cool down so that it may not overheat. However, water that is no longer needed for the nuclear reactor, which is highly contaminated, need to be removed. Usually, nuclear plants pump this radioactive water into nearby rivers or into the seas. As this water is radioactive, it damages the ecosystem, hence causing harm to the environment. It can cause fish or marine live to die due to the harmful effects of radiation (Kivi, n.d.) 6. Conclusion As explored in this report, nuclear energy brings both advantages and disadvantages when it comes to producing energy. On one hand, it is an alternative source ofShow MoreRelatedThe Energy Source Of Nuclear Power1003 Words   |  5 PagesNuclear Power It is no question that the US is incredibly reliant on energy. In 2014 alone, the US used 98.324 quadrillion BTUs of energy. According to the US Energy Information Administration, Roughly 82% of that was fossil fuels. Renewable resources accounted for 10%, including solar, wind, hydroelectric, and more, and the remaining 8% was nuclear power. This energy powered our televisions and drove our cars. Unfortunately, our reliance on fossil fuels brings with it serious side effects, includingRead MoreNuclear Power : A Source Of Energy881 Words   |  4 PagesAnother source of energy that is available is wind power. 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