Obesity in pediatric individual Essay Example | Topics and Well Written Essays - 4000 words

Obesity in pediatric individual - Essay Example Family history indicates that her father is obese and has Type 2 diabetes. The girl is alert and oriented, pleasant and cooperative and her vital signs indicate BP at 108/58, Heart Rate 64, RR 16, Temperature 98.4 and Body Mass Index (BMI) 32. The skin tone is dark pigmented neck, hands and underarms. The other conditions of the individual include: HEENT: Normocephalic, PERRLA, Visible fundus, without evident Micro vascular Damage. Exam otherwise unremarkable musculoskeletal – neck flexed, head down, poor posture d/t cervical dorsal hump Psychosocial – Poor self esteem, based on posture, body image. Lungs: good air entry, no adventitious breath  sound. Heart: S1 S2 present, no murmur, click, or rub. Obesity can be perceived as health hazard that primarily derives from the intake of more â€Å"calories than the body requires† and it can also occur due to the â€Å"interaction of genetic and environmental factors† (Thorleifsson et al, 2008, p.1). ... In the absence of any other obvious reasons identified in her case, the reportedly unusual weight gain of the girl seems to suggest an association with genetic or genomic causes. This becomes a specific concern since the subject’s father has a history of obesity with Type 2 diabetes. Evidence Supporting Genetic/Genomic Risk: Childhood and adolescent obesity is one of the major problems being faced by nations across the world in the modern day and this is especially so in the case of developed countries such as the United States. Though environmental changes play a key role in the prevalence of obesity across the world, evidence also suggests that â€Å"genetic component† also contributes to the risk (Bradfield et al, 2012, p.3). Recent studies based on genome-wide associations also indicate that â€Å"many genetic loci† are responsible for BMI/obesity in adults and the largest meta-analysis has brought to the fore â€Å"eighteen loci associated with BMI† ( p.4). This study further corroborates the existence of â€Å"two novel obesity loci† which are associated with â€Å"elevated adiposity in the first eighteen years of life† (p.6). Thus, it transpires that genetic and genomic elements are high risk factors for the prevalence of obesity in children and adolescents, apart from environmental causes. Since the subject’s father happens to be diabetic, the apprehension of possible risk of inherited obesity is quite high in the instant case. Wardle et al, while agreeing to the notion that the high prevalence of obesity in the recent past can be attributed to environmental factors, contends that â€Å"inherited genetic differences†

The Yellow Wallpaper by Charlotte Perkins Gilman Essay - 7

The Yellow Wallpaper by Charlotte Perkins Gilman - Essay Example Without a doubt, there is an evident distance between the narrator and her husband as revealed in the story. This paper will carry out a critical analysis of the narrator explaining the changes that happened to her and why the changes proved to be highly significant. From the first line of the story, it is evident that the narrator is a female, married to a man named John. In addition, the couple belongs to the middle class as highlighted when the narrator says they were â€Å"mere ordinary people†. The narrator goes further to introduce the reader to the fact that they secured an ancestral home for their summer vacation (Gilman 1). The ancestral home is an important aspect of the narrator because it has features that trigger her imagination. The narrator has just given birth to a newborn baby and has been diagnosed with a form of depression. Probably, the narrator suffers from post-partum depression. The reader can also note that the narrator exhibits a sensitive temperament and is a committed writer. Since she is suffering from depression, her husband recommended her to avoid any form of work that may stimulate her intellectual capacities. Her husband is a physician by profession, explaining why he recommends a rest cure for her. Howeve r, the narrator disagrees with the views of her husband. She believes that the rest cure is only denying her an opportunity to indulge in her imagination. For this reason, she chooses to secretly write down journals that focus on the intriguing things she identifies in the house. She has identified a yellow wallpaper in the bedroom, which defines her center of obsession (5). Her husband’s sister ensures that she does not indulge in any involving work. However, the narrator develops tactics of keeping her writing a secret. She spends a lot of time analyzing the yellow wallpaper and trying to understand its meaning. Eventually, the narrator begins